Staff Story Trainee Nursing Associate

Transcription

1 Staff Story Trainee Nursing Associate Meeting Board of Directors Date 18 September 2018 Agenda item 23 Lead Director Paula Simpson, Director of Nursing & Quality Improvement Author(s) Anna Simpson, IG Manager/Patient Experience Officer To Approve To Note To Assure Link to strategic objectives & goals Please mark against the strategic goal(s) applicable to this paper Our Patients and Community - To be an outstanding trust, providing the highest levels of safe and person-centred care We will deliver outstanding, safe care every time We will provide more person-centred care We will improve services through integration and better coordination Our People - To value and involve skilled and caring staff, liberated to innovate and improve services We will improve staff engagement We will advance staff wellbeing We will enhance staff development Our Performance - To maintain financial sustainability and support our local system We will grow community services across Wirral, Cheshire & Merseyside We will increase efficiency of corporate and clinical services We will deliver against contracts and financial requirements Link to Principal Risks in the Board Assurance Framework - please mark against the principal risk(s) - does this paper constitute a mitigating control? Failure of organisations across the system to delegate appropriate authority to support the integrated care system (Healthy Wirral) Failure to engage staff to secure ownership of the Trust s vision and strategy Increasing fragility of the social care market The impact of the outcome of the Urgent Care Review compromising financial stability and the future model of care Services fail to remain compliant with the CQC fundamentals of care leading to patient safety incidents and regulatory enforcement action and a loss of public and system confidence Inability to implement the Trust s clinical transformation strategy and preferred model of care - Neighbourhood care Commissioning decisions do not promote integrated working across the health and care system

2 Failure to build the workforce skills and infrastructure to transform services to meet the demographic needs of the workforce and population Security of public health funding and subsequent contractual decisions impacting on the range of services provided to Wirral & Cheshire East Failure to foster, establish and manage the right partnerships that enable a response to commissioning intentions Development of place-based care outside of Wirral, limits the Trust s ability to expand/retain services in these areas Failure to deliver the efficiency programme Failure to achieve all the relevant financial statutory duties The impact of the outcome of the Carter Review on community services benchmarking on commissioning decisions Impact of supporting the delivery of the 3-year financial plan and future sustainability of the Wirral system Link to the Organisational Risk Register (Datix) Has an Equality Impact Assessment been completed? Yes No Paper history Submitted to Date Brief Summary of Outcome Paula Simpson A staff story is submitted monthly to the Education & Workforce Committee. This story was heard at the Committee on 27 June 2018

3 Staff Story Trainee Nursing Associate Purpose 1. The purpose of this paper is to share a staff story with the Board of Directors. Executive Summary 2. The nursing associate is a new role currently being trialled to help build the capacity and capability of the nursing workforce in England. The role aims to bridge the gap between health and care support workers who have a care certificate, and graduate registered nurses. 3. 1,000 trainee nurse associates (TNA) commenced programmes nationally in January 2017 (296 trainees across 2 sites in the north-west). A further 1000 trainees commenced the programme in second wave fast follower pilot groups in April The test sites are employer led partnerships working within an STP footprint. 4. Our current trainees benefit from experiences in a range of settings including mental health and learning disability placements to support the development of a person centred practitioner. 5. In this staff story a Trainee Nursing Associate talks about their experience of the programme and about the service that he will be working with once the programme concludes in January Background 6. Health Education England (HEE) says the creation of an additional Nursing support role will have several benefits. These include providing a route into Nursing and a career ladder for the health care support workforce; enhancing the quality of hands-on care offered by the support workforce through defined and funded training and development, and strengthening the support available to nursing staff, releasing them to focus on care planning and management, advancing their practice and using their high level skills. 7. The trainees will attend universities and further education colleges on a part-time basis, following a national curriculum framework. Training will run over a two-year period, and at the end of this, trainees will become qualified Nursing Associates. 8. The member of staff in this staff story previously worked as a HCA in Sexual Health Wirral and was supported by the Service Lead at the time, to apply. He will complete his training in January For this area the lead partner is Cheshire and Wirral Partnership NHS Foundation Trust and the education partner is the University of Chester. 10. The programme combines and integrates both academic and work-based learning through close collaboration between employers and education providers. A Trainee Nursing Associate will experience working in alternative settings so that they gain a wide appreciation of many health and care contexts. At the end of the programme, the Trainee Nursing Associate will be equipped with the knowledge, understanding, skills, attitudes and behaviours relevant to employment as a Nursing Associate and will work to a nationally recognised code of conduct that will be developed during the test phase of the introduction of the Nursing Associate Training Programme.

4 11. Each year the trainee completes three sixteen week placements along with a three week spoke placement within those sixteen weeks. The placements cover physical health, mental health and learning difficulties. On the audio he explains how completing a diverse range of placements has increased his knowledge and how this will hold him in good stead for the future. 12. The trainee s placements have included: VCH walk in centre, learning disabilities in the community at Ashton House, District Nursing with the Pasture Road team, Wallasey 0-19 service and Orthopaedics at Clatterbridge Hospital. 13. The Trainee Nursing Associate has particularly enjoyed his time with the 0-19 service. As stated on the audio he has found the role to be very rewarding and has enjoyed supporting families with their newborns. Additionally, he observes the importance of the health visitors role in supporting the mental health of mothers. 14. It is has been confirmed that the trainee will have a permanent role within the 0-19 service once the course concludes. The trainee is hopeful that he will be placed with the Wallasey team and describes why in the audio recording. Leadership For All 15. Leadership is about the culture of an organisation. The leadership skills of all trust staff contribute to the culture of the trust, or the way we do things round here. 16. Our culture is an essential part of ensuring the trust delivers excellence and success. We need the right culture to enable us to deliver our vision: To be the outstanding provider of high quality, integrated care to the communities we serve. 17. The Trust has developed a leadership model which: Helps staff identify what their current leadership skills are Highlight areas where staff may need some additional support Identifies development and experience opportunities for staff interested in increasing their leadership skill 18. The Leadership Model is made up of 5 levels, which broadly apply as follows: Core: All staff Essential: Line managers, registered clinical staff, health advisors and project leads Proficient: team leaders, clinical specialists and advanced practitioners and senior project leads Strong: Service leads and professional leads Exemplary: Divisional managers, heads of service and executives

5 19. Within each level there are 9 leadership behaviours, all of which have been proven to be important in a healthcare organisation: 20. In this staff story the Organisation as a whole has shown leadership behaviours. The Trust is supporting staff to develop their capabilities, is sharing the Nursing Associate vision and is inspiring shared purpose by attempting to improve patient care by supporting this new role. Board Action 21. The Board of Directors is asked to be assured that this story provides evidence that the Trust is actively supporting staff to develop capability, which in turn will improve the care provided to our patients. Paula Simpson Director of Nursing & Quality Improvement Contributor: Anna Simpson, IG Manager/Patient Experience Officer 20 June 2018