TAMESIDE & GLOSSOP INTEGRATED CARE NHS FOUNDATION TRUST
|
|
- Brice Bridges
- 5 years ago
- Views:
Transcription
1 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 by Safe ing Report Tracey McErlain-Burns, Interim Chief Nurse Tracey McErlain-Burns, Interim Chief Nurse To note/receive n/a Executive Summary In-line with the Hard Truths Commitments regarding the publishing of ing Data, the Trust Board are required to review staffing data on a monthly basis. The challenges associated with achieving safe staffing levels are well understood by the Board. Registered Nurse fill rates are low at 90.2%, supported by care support worker rates in excess of 100%. Three wards are consistently featuring in the list of those with fill rates <80% and this month specific action has been taken in relation to protecting Registered Nurse input to ward 42. Using the NHSI Model Hospital Dashboard it is apparent (based on January 2017 data) that the ICFT CHpPD is similar to 50% of other organisations. A review of School Nursing and Health Visiting is taking place within the respective Division; both services experiencing increased demand following the publication of the Ofsted Report in Tameside. Finally, the Board should note that an open recruitment day is scheduled to take place on 10 June with a further day planned (if required) for 01 July. In preparation for these events, new recruitment materials are being produced including a video that features services across the ICFT. Related Trust Objectives Risk Assurance risk impacted upon Legal implications/regulatory requirements Financial Implications 1 1. All patients receive harm free care through the Trust s Patient Safety Programme. 2. To improve the quality of patient care through the implementation of the Trust s agreed Quality Strategy. 3. To improve the patient experience through a personalised, responsive, compassionate and caring approach to the delivery of patient care. CR734: Nurse vacancies, leadership and nurse staffing/ recruitment across medicine and the ability to provide safe care. AF3480: Failure to meet CQC registration requirements relating to staffing. AF3482: Failure to ensure adequate staffing levels to ensure patient safety and quality of services NHS England monthly requirement to publish and report ing Data The CQC report published 7 th February 2017 states that the Trust must ensure that there are appropriate numbers of nursing staff deployed to meet the needs of patients (medical services). There are no new immediate financial implications albeit the financial implications of international recruitment are being considered by the executive team.
2 Has a quality impact assessment been undertaken? How does this report affect Sustainability? Yes where applicable in plans The Trust is required to ensure staffing levels are adequate to meet patient safety and quality requirements. Action required by the Board The Trust Board is requested to receive this update and note the actions described and the assertive monitoring and management in place. 2
3 Background This is a monthly report to the Trust Board following National Quality Board (NQB) guidance issued in November 2013 to optimise nursing, midwifery and care staffing capacity and capability: How to ensure the right people, with the right skills, are in the right place at the right time: A guide to nursing, midwifery and care staffing capacity and capability. The guidance clearly sets out the expectations and requirements of the Trust to meet the Hard Truth s commitments (following the Mid ordshire report). In July 2016, the NQB published an updated set of expectations for nursing and midwifery staffing to assist NHS Provider Boards to take local decisions which will deliver high quality care for patients within the available staffing resource (Supporting NHS providers to deliver the right staff, with the right skills, in the right place, at the right time Safe sustainable and Productive ing, NQB, July 016). This updated guidance incorporates Lord Carter report findings, in setting out the key principles and tools that provider boards should use to measure and improve their use of staffing resources to ensure safe, sustainable and productive services. As advised in recent months the content of this report is evolving to ensure that the Board has a complete picture of matters relating to safe nurse staffing. This report includes the position regarding school nursing and health visitor staffing. Safe ing Update April 2017 Data Each month the data collection compares the number of nurse staff hours Planned against the number of nurse staff hours used Actual. This is collected by ward, by shift, and is reported by calendar month as a % fill rate by day and by night. Please refer to the heat map (Appendix 1). This staffing information is published via NHS Choices. This data is currently available via our public website in a specific designated section Safe ing : ( Overall, Registered Nurse (RN) fill-rates remain constant (with minimal change) month on month, but unregistered (Healthcare Support Worker) fill rates fluctuate due to levels of enhanced care required (1:1 s) and additional support for RN shortfalls. The following graph highlights to the Board that unregistered fill rates for day and night shifts usually meet or exceed 100% and registered fill rates for night shifts have maintained consistency of over 95%. Senior Nurse leaders review nurse staffing levels (actual against planned) several times a day and a conscious decision has been taken to increase the levels of fundamental care support by unregistered staff when registered nurses are not available to fill shifts. The registered nurse fill rate for day shifts is currently running at 90.2% which demonstrates minimal improvement in comparison to the rate of 89.9% for the month of March. The details in this report describe some of the actions being taken to address the shortfall. The reasons for the slight improvement are tighter roster controls specifically with regard to annual leave. 3
4 % Fill Rate Nurse & Midwifery ing - Average Fill Rates Registered % of shifts filled DAY Registered % of shifts filled NIGHT Health Care Asst % of shifts filled DAY Exception Report April 2017 There were 3 inpatient areas with registered nurse/midwife fill rates <80% in April 2017 (Appendix 1 heat map). Those areas were: Ward 42 Ward 44 Ward 46 Wards 42, 44 and 46 continue to be featured in this section of the board report as they continue to have a fill rate of less than 80%. The current registered nurse vacancy factor on Ward 42 is 6.76 wte, for Ward 44 it is 3.9 wte and Ward 46 remains at 5.29 wte. All three areas have bespoke adverts currently out and are proactively engaged in the Trust registered nurse recruitment day. In addition all 3 wards are recruiting a fixed term Band 3 Care Co-ordinator role as part of changes to their models of care. The band 3 role has proven to be very successful in other medical ward environments in supporting patient flow and overall ward co-ordination. As agreed with the Board in April, further details in relation to the focus on safe staffing within the medical wards will be reported to the Board in June Since February 2017 this report has included details of the number of escalation beds open and the impact on nurse staffing. In the month of April there was an average of 13 additional beds opened across ambulatory care, the day care unit, surgical unit and the heart care unit 1. Temporary nurse staffing totalling 425 hours (a combination of registered and unregistered) was requested of which 230 hours were filled via NHS Professionals and the remaining hours were redeployed from other areas within the Trust. Filled / Worked % Filled Requested Unfilled Ambulatory Integrated Assessment Unit % Surgical Unit % Ward 30 H C U % Day Surgery Unit % Total % 1 An increase of 8 on the average number of escalation beds open in March
5 Care Hours per Patient per Day (CHpPD) In recent months the heat map attached at appendix 1 has included actual CHpPD; a measure used by NHS Improvement. This provides a consistent way of measuring the deployment of nurses and healthcare support workers and it needs to be used alongside acuity and skill mix. Planned CHpPD by ward and Trust has been added to the heat map from February 2017 to show the hours required (based on nurse staffing establishments) versus that available. This month s heat map draws attention to six wards with actual registered CHpPD hours less than planned. All six areas demonstrate that they backfilled the shortage of registered nurses with unregistered staff as their actual unregistered CHpPD hours are more than planned. Of note, Ward 40 had additional support in month of 275 hours of Band 7 Physiotherapy time working alongside nursing staff on day shifts and these care hours are not included in the CHpPD calculation in line with NHS England requirements. The heat map also draws attention to areas such as critical care, the neonatal unit, children s unit, Stamford Unit and Shire Hill all of which exceeded their planned RN hours. This was due to reduced occupancy in those areas at times during the month of April, for example occupancy in the critical care unit for the month was 67%. The graph below shows the trend in actual CHpPD, as a total of days and nights, registered and unregistered, since the methodology was introduced CHPPD Trust Total CHPPD Total Planned Benchmarking data is now available via the NHS Improvement Model Hospital Dashboard and the graph below shows the Tameside and Glossop CHpPD vs the national average. The Board should note that the Model Hospital data is January The first of the two graphs below represents CHpPD for Tameside and Glossop compared with the national median. The axis on the left ranging from 6.9 hours to 7.9 hours; with over 30 mins difference between the Tameside and Glossop Integrated Care NHS Foundation Trust and the national median between June 2016 and October The second graph shows the Trust position set against the national distribution. This metric does not speak to what levels of nurse staffing are right or wrong, as indicated above it needs to be reviewed alongside acuity and skill mix analysis. 5
6 Safe Midwifery ing As described in last month s paper work is still on-going to support the development of the new A- EQUIP model of non-statutory midwifery supervision. The Head of Midwifery will present the proposed new model to board in June Community Nursing (adult) As advised last month a capacity and demand exercise is underway to inform our understanding of the caseloads being managed by our community nursing teams. The teams are currently fully recruited to establishment however there are 4.0 colleagues due to leave the service shortly and therefore recruitment is being advanced and some fixed term agency support has been secured. In line with the NHSI consultation paper on safe community nurse staffing the Assistant Chief Nurse (Medicine) has commenced a piece of work to review community nursing specific red flags / canary markers and an update on this will be included next month. 6
7 Children and Young People A must do action in the Care Quality Commission (CQC) report is to ensure that there is one nurse on duty on the children s ward trained and up to date in Advanced Paediatric Life Support (APLS) on each shift. As reported last month, this requirement has been met. Health Visiting In February 2011 the Department of Health launched the Call to Action Health Visitor Implementation Plan. This plan sought to increase Health Visitor numbers to pre-1990 levels, increasing capacity to modernise the public health agenda and work with children and families. The number of Health Visitors in Tameside at the time was 31wte. Based on the target set by the Department of Health at the time Tameside was to increase its establishment of Health Visitors by 48% based on population size and deprivation indicators to achieve an establishment of 59.3wte. There are currently 54.1wte Health Visitors in post however it is known that 4.7wte plan to leave / retire in the next few months and there are 4.2wte on maternity leave. The service is recruiting to vacancies and risk mitigation plans are in place to manage the impact of vacancies / leave on achieving the Health Visitor requirements of the Healthy Child Programme. School Nursing The Call to Action for School Nursing Services was launched in March 2012 by the Department of Health. This described the School Nursing ambitions within the Healthy Child Programme which focuses on children from the age of 5 to 19 years. The School Nursing service in Tameside covers a population of 34,220 children and young people within 15 secondary schools, 75 primary schools and 5 special schools. The total population of 5-19 year olds is approximately 42,000. The Call to Action recommended one specialist qualified School Nurse per secondary school which has not been achieved in Tameside. The School Nursing establishment includes 8.57wte specialist, qualified School Nurses working with Nurses, School Health Assistants and some specialist nurses. In common with other services across the country, the impact of the recent Ofsted Report has led to increased safeguarding activity for both the Health Visiting and School Nursing Service. A review of both services is currently underway and an update will be provided to the Board in July Red Flags There were a total of 54 incidents with 147 Red Flags recorded via the incident reporting system with regard to Nurse ing for April 2017 this is due to the fact that multiple red flags can be reported for one incident. The number of red flags recorded can be broken down as shown in the graph and table on the following page. The table below captures that the number of incidents and red flags in month compared with previous month(s). March 2017 April 2017 No of Incidents Red Flags
8 Department A shortfall of more than 8 hours or 25% of Registered Nurse time available Delay of 30 minutes in providing pain relief Intentional rounding Less than 2 registered nurses present on a ward during any shift Missed breaks Patient vital signs not assessed or recorded as outlined in the care plan Unplanned omission in providing medication Ward Ward ACU AMU Ward Dewsnap Clinic IAU A&E 1 1 Surgical Unit Hollingworth Clinic 1 1 Ward Grand Total Total It is essential that nursing and midwifery leaders review any trends in relation to Red Flags. Specifically this month, based on the April data, the Assistant Chief Nurse (Medicine) has been ring fencing three Registered Nurses per shift on Ward 42 given the shortfall of 8 hours or more nursing time reported and the omission of vital sign recording. The impact of this will be reviewed at the end of May. In addition, further work is being done to understand the underlying cause of missed breaks on the basis that nurse leaders want to ensure that having a break whilst on shift is the norm and part of the culture we wish to promote. 8
9 Strategies to Address Shortfalls in Nursing & Midwifery ing Levels The Trust has a range of strategies which include recruitment, workforce redesign through the creation of new roles, retention and flexible staffing solutions. This section of the report provides an update on some of those strategies. Retention As outlined in a previous section of the report there is a focus on understanding the reasons for colleagues missing their essential rest breaks. On 12 May, International Nurses Day the Nursing and Midwifery leadership team reached out to all clinical areas across the ICFT to consult with colleagues and members of the public on the draft Nursing, Midwifery and Care Strategy. This was a very well received event with hundreds of colleagues participating and much positive feedback. The engagement opportunity 2 also provided a vehicle for saying thank you to our nurses, midwives and care colleagues for their contribution to care in Tameside and Glossop. An important part of any retention strategy is understanding how our colleagues perceive their services and would promote them to future colleagues. Throughout our preparations of the Nursing, Midwifery and Care Strategy all participants have been asked to use three words to describe our current nursing, midwifery and care offer to the population of Tameside and Glossop and the word bubble below captures those descriptions. Recruitment During the month of April 20 registered nurses left the organisation; a total of wte and 22 registered nurses (19.6 wte) commenced employment with the Trust. On 12 May Just R were on site working with the Nursing and Midwifery leadership team to film a series of interviews and interventions leading to the production of a new recruitment video. The video will be used to promote the forthcoming recruitment events. The next open day for recruitment is scheduled for Saturday 10 June. It is understood that this date clashes with another recruitment event elsewhere in Greater Manchester however the interim Chief Nurse has made the decision to go ahead with a view to repeating our local event (if required) on 01 July The second in 7 days with the first taking part on 05 May International Day of the Midwife. 9
10 In terms of international recruitment, the Nursing and Midwifery leadership team, with the support of colleagues in procurement, are meeting recruitment agencies on 24 May A verbal update may be available for the Board meeting on 25 May. Temporary ing The Trust works with NHS Professionals to provide a temporary staffing solution. In April 2017 the overall temporary staffing fill rate was 77.2%, a reduction on the overall fill rate of 78.7% in March 2017 despite a 15% reduction in demand. The top booking reasons remain vacancy, sickness, and 1-1 specialling. The graph below shows the fill rates and total requested hours for both registered and unregistered staff for the last 3 months. Working with NHSP several initiatives are being designed to attract existing nurses and care support workers to register with NHSP for bank shifts, the aim being to increase shift fill rates and reduce agency usage. The Nursing and Midwifery leadership team believes that tighter controls on agency usage are possible and therefore a practice deployed in most other Trusts working with NHSP will be implemented in Tameside and Glossop no later than June 2017; this will involve the use of Golden Keys which can only be removed to sanction the use of agencies, by a limited number of people. Trainee Nurse Associates (TNAs) The TNA Clinical Educator is now in place on a fixed term contract and will be supporting colleagues in the clinical placement areas. The TNAs are still on their first six month rotation and move to their second placement on 31 July. Practice based assessments will be taking place in June, reviewed by the Lead for Preceptorship and submitted to the Manchester Metropolitan University. The Board should note that TNAs only have two opportunities to pass the assessment and also need to submit a summative assessment before being able to progress to second placement. Appropriate support is being provided by both the corporate nursing team and the learning and development team. 10
11 Preceptorship In April 21 new registrants requiring preceptorship joined the ICFT: 15 x Adult Nurses (2 x Community and 13 x Acute) 1 x Paediatric Nurse 2 x Dieticians 1 x Learning Disability Nurse 1 x Community Physiotherapist 1 x ODP Summary The challenges associated with achieving safe staffing levels are well understood by the Board. Registered Nurse fill rates are low at 90.2%, supported by care support worker rates in excess of 100%. Three wards are consistently featuring in the list of those with fill rates <80% and this month specific action has been taken in relation to protecting Registered Nurse input to ward 42. Using the NHSI Model Hospital Dashboard it is apparent (based on January 2017 data) that the ICFT CHpPD is similar to 50% of other organisations. A review of School Nursing and Health Visiting is taking place within the respective Division; both services experiencing increased demand following the publication of the Ofsted Report in Tameside. Finally, the Board should note that an open recruitment day is scheduled to take place on 10 June with a further day planned (if required) for 01 July. In preparation for these events, new recruitment materials are being produced including a video that features services across the ICFT. Recommendations The Trust Board is asked to note the details of this report and the actions being taken. 11
12 Appendix 1 Inpatient Ward Compliments Complaints Moderate Harm + Incidents Falls with Harm MRSA C.Diff PU (+G2 only) FFT Positive (%) Registered Fill Rate - Days % of Temp Used Registered Fill Rate - Nights % of Temp Used Unregistered Fill Rate - Days % of Temp Used Unregistered Fill Rate - Nights % of Temp Used Planned Registered CHPPD Actual Registered CHPPD Planned Unregistered CHPPD Actual Unregistered CHPPD Planned Orthopaedic Unit % 90.5% 1.85% 93.1% 18.74% 116.6% 15.74% 154.4% 43.57% Surgical Unit % 82.9% 9.05% 97.6% 14.65% 92.0% 35.34% 119.2% 53.66% Emergency Orthopaedic Unit % 91.3% 2.02% 103.1% 23.93% 113.6% 17.81% 143.2% 41.17% Critical Care % 95.3% 13.62% 94.4% 31.17% 91.5% 0.00% N/A N/A AMU % 108.0% 9.61% 93.6% 38.11% 96.5% 11.70% 100.4% 14.16% Acute Cardiology Unit % Heart Care Unit % Heat map - Inpatient Ward Areas - April % 19.92% 107.5% 36.08% 122.0% 10.99% 96.8% 46.42% Ward % 85.8% 46.30% 88.4% 77.31% 102.1% 37.69% 105.9% 64.44% Ward % 80.6% 1.30% 95.6% 33.91% 75.0% 15.32% 150.3% 29.50% Ward % 80.6% 11.67% 92.3% 48.43% 107.6% 16.09% 103.8% 37.77% Ward % 68.8% 1.14% 92.9% 42.32% 117.8% 14.32% 124.4% 37.87% Ward % 74.8% 15.38% 96.7% 41.58% 145.8% 21.04% 133.3% 38.85% Ward % 84.0% 12.32% 95.0% 49.49% 109.6% 16.97% 100.0% 10.94% Ward % 67.8% 4.87% 79.9% 31.53% 136.3% 11.31% 177.9% 31.19% Ward 27 (Maternity) % 103.9% 15.30% 90.3% 9.01% 96.5% 12.81% 111.1% 22.25% NICU % 99.2% 12.25% 99.2% 21.11% 100.0% 0.00% N/A N/A Children's Unit % 99.1% 11.97% 94.5% 10.25% 69.9% 23.30% N/A N/A Stamford Unit % 9.42% 98.4% 42.63% 98.6% 13.86% 101.7% 47.20% % Stamford Unit % 4.08% 101.7% 28.07% 96.1% 23.15% 103.3% 47.13% Shire Hill % 100.3% 24.75% 100.1% 13.32% 93.0% 24.07% 97.6% 63.59% Inpatient Totals/Averages % 90.2% N/A 95.6% N/A 103.5% N/A 116.6% N/A Actual CHPPD TOTAL KEY Complaints Moderate Harm + Falls with Harm MRSA CDIFF PU(+G2) ing Fill Rates 0 - Green 0 - Green 0 - Green 0 - Green 0 - Green 0 - Green > 90% - Green >1- Amber >1 - Amber >1 - Amber >1 - Red >1- Amber >1 - Amber 80-90% - Amber >2 - Red >2 - Red > 2 - Red >2 - Red >2 - Red < 80% - Red NB: Please note that Inpt FFT Total shown does not include Community areas. 12
TAMESIDE & 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 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 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 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 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 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 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 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 informationTAMESIDE AND GLOSSOP INTEGRATED CARE NHS FOUNDATION TRUST
TAMESIDE AND GLOSSOP INTEGRATED CARE NHS FOUNDATION TRUST Report to Public Trust Board meeting of the 27 th April 2017 6b Agenda Item Chief Executive s Report Title Karen James Sponsoring Executive Director
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 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 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 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 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 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 informationTameside and Glossop Integrated Care NHS Foundation Trust. Board of Directors February Chair's Report
Agenda Item 6 Tameside and Glossop Integrated Care NHS Foundation Trust Appointment of new Non-Executive Director Board of Directors February 2018 Chair's Report I am pleased to be able to confirm that
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 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 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 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 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 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 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 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 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 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 informationUNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST TRUST BOARD
UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST TRUST BOARD Date of meeting: 25 July 2012 Title / Subject: Status Internal Purpose: The attached paper provides an update of progess made in UHMB
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 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 informationTrust Board Part 1 - January Nursing and Midwifery Establishment Review
Trust Board Part 1 - January 218 Agenda Item: 1.1 Nursing and Midwifery Establishment Review PURPOSE PREVIOUSLY CONSIDERED BY To provide the Board with the bi-annual review report for ward establishments
More informationReport sponsor: Theresa Murphy, Director of the Patient Experience & Nursing
Meeting of the Board of Directors public session Safer Staffing Planned and actual staffing levels Wednesday 29 th April 2015 Agenda item 12 Reason for item: This is a standard monthly report on the planned
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 informationNURSE STAFFING REPORT
NURSE STAFFING REPORT INTRODUCTION This paper fulfills the nationally mandated, post Francis II requirement for monthly Board Reports detailing achievement against required nurse staffing levels. This
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 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 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 informationPATIENT AND SERVICE USER EXPERIENCE STRATEGY
PATIENT AND SERVICE USER EXPERIENCE STRATEGY APRIL 2017 TO MARCH 2020 Date 24 March 2017 Version Final Version Previously considered by The Patient Experience Group version 0.1 draft The Executive Management
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 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 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 informationTRUST BOARD. Jo Furley, Interim Chief Nurse Dr Ben Lobo, Medical Director. Jo Hunter, Deputy Chief Nurse. Mary Heritage, Assistant Director of Quality
TRUST BOARD Document Title: Presenter: Quality Report Jo Hunter, Deputy Chief Nurse Authors: Contact details for further information: Jo Furley, Interim Chief Nurse Dr Ben Lobo, Medical Director Jo Hunter,
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 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 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 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 informationPolicy 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 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 informationTRUST BOARD TB(16) 44. Summary of Lord Carter recommendations Operational productivity and performance in English acute hospitals
TRUST BOARD TB(16) 44 Title: Action: Meeting: Summary of Lord Carter recommendations Operational productivity and performance in English acute hospitals FOR NOTING Date of meeting Purpose: The purpose
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 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 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 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 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 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 informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement programme aims to support The Open and Honest Care: Driving Improvement organisations to become more transparent
More informationOverall rating for this trust Good. Inspection report. Ratings. Are services safe? Requires improvement. Are services effective?
Barnsley Hospital NHS Foundation Trust Inspection report Gawber Road Barnsley South Yorkshire S75 2EP Tel: 01226 730000 www.barnsleyhospital.nhs.uk Date of inspection visit: 17 to 19 October, 15 to 17
More informationAn improvement resource for mental health
National Quality Board Edition 1, January 2018 Safe, sustainable and productive staffing An improvement resource for mental health This document was developed by NHS Improvement on behalf of the National
More informationStaffing by Ward (May 2014)
Staffing by Ward (May 2014) The table below (Table 1) shows the fill rate for Registered Nurses (RNs) and Care Staff (CSWs) for the month of May 2014. A fill rate above 100% means that there have been
More informationThe new CQC approach to hospital inspection. Ann Ford Head of Hospital Inspection (North West) June 2014
The new CQC approach to hospital inspection Ann Ford Head of Hospital Inspection (North West) June 2014 1 Our purpose and role Our purpose We make sure health and social care services provide people with
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 informationSUBJECT: Medical Staffing Update Report 1. PURPOSE
Meeting of Lanarkshire NHS Board: Wednesday 25 March 2015 Lanarkshire NHS Board Kirklands Fallside Road Bothwell G71 8BB Telephone: 01698 855500 www.nhslanarkshire.org.uk SUBJECT: Medical Staffing Update
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 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 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 informationCurrent policy context of safe staffing in A&E Departments
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 Why is safe staffing so important? Right
More informationStatus: Information Discussion Assurance Approval. Claire Gorzanski, Head of Clinical Effectiveness
Report to: Trust Board Agenda item: Date of Meeting: 2 October 2017 SFT3934 Report Title: Annual quality governance report 2016-2017 Status: Information Discussion Assurance Approval X Prepared by: Executive
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 informationPerformance and Delivery/ Chief Nurse
Governing Body 26th May 2017 Quality and Performance Report 22nd May 2017 Author: Other contributors: Executive Lead Audience Eileen Clark - Acting Director of Clinical Performance and Delivery/ Chief
More informationStrategic Risk Report 12 September 2016
Strategic Report September 20 Haringey CCG Register Introduction The Strategic Report (historically known as the Board Assurance Framework) evidences Haringey Clinical Commissioning Group s control over
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 informationShetland NHS Board. Board Paper 2017/28
Board Paper 2017/28 Shetland NHS Board Meeting: Paper Title: Shetland NHS Board Capacity and resilience planning - managing safe and effective care across hospital and community services Date: 11 th June
More informationYork Teaching Hospital NHS Foundation Trust. Caring with pride. The Nursing and Midwifery Strategy
York Teaching Hospital NHS Foundation Trust Caring with pride The Nursing and Midwifery Strategy 2017-2020 1 To be a nurse, a midwife or member of care staff is an extraordinary role. What we do every
More informationYou said We did. Care Closer to home Acute and Community Care services. Commissioning Intentions Engagement for 2017/18
Commissioning Intentions Engagement for 2017/18 You said We did Care Closer to home Acute and Community Care services Top three priorities were: Shifting hospital services into the community Community
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 informationNHS GRAMPIAN. Grampian Clinical Strategy - Planned Care
NHS GRAMPIAN Grampian Clinical Strategy - Planned Care Board Meeting 03/08/17 Open Session Item 8 1. Actions Recommended In October 2016 the Grampian NHS Board approved the Grampian Clinical Strategy which
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 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 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 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 informationDelivering Improvement in Practice
v Delivering Improvement in Practice NHS Providers Governance Conference 7 July 2016 Sir Mike Aaronson Chairman, Frimley Health NHS Foundation Trust 2006-2016 Frimley Health FT Comprises: Frimley Park
More informationNursing and Midwifery Rostering. Policy. Asst. Director of Nursing, Workforce Planning. & Modernisation. Directorate of Primary Care and Older.
Policy Title Nursing and Midwifery Rostering Policy Policy Reference Number PrimCare11/01 Implementation Date January 2011 Review Date January 2013 Responsible Officer Asst. Director of Nursing, Workforce
More informationOur Achievements. CQC Inspection 2016
Our Achievements CQC Inspection 2016 Issued February 2017 HOW FAR WE VE COME SAFE Last year, we set out our achievements in a document for staff and patients. It was extremely well received, and as a result,
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 informationSafe, sustainable and productive staffing An improvement resource for learning disability services
Safe, sustainable and productive staffing An improvement resource for learning disability services Contents 1. Introduction 2. Right staff 3. Right skills 4. Right place, right time 5. Dashboard 6. Conclusions
More informationOpen and Honest Care in your local Trust
Agenda Item: 3 Encl. 3.3 Open and Honest Care in your local Trust Open and Honest Report for Black Country Partnership NHS Foundation Trust February 2017 NHS England INFORMATION READER BOX Directorate
More informationDate of publication:june Date of inspection visit:18 March 2014
Jubilee House Quality Report Medina Road, Portsmouth PO63NH Tel: 02392324034 Date of publication:june 2014 www.solent.nhs.uk Date of inspection visit:18 March 2014 This report describes our judgement of
More informationSafeguarding Vulnerable People Annual Report
Safeguarding Vulnerable People Annual Report 2014-2015 1. Purpose of report The purpose of this report is to provide assurance that the Trust is fulfilling its responsibilities to promote the safety and
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 informationThe Pennine Acute Hospitals NHS Trust. Publishing staffing data for nursing, midwifery and care staff January 2017
The Pennine Acute Hospitals NHS Trust Publishing staffing data for nursing, midwifery and care staff January 2017 Pennine Acute Hospitals NHS Trust is committed to publishing staffing data for nursing,
More informationSOMERSET PARTNERSHIP NHS FOUNDATION TRUST SAFER STAFFING REPORT: MARCH AND APRIL Report to the Trust Board 26 May 2015
SOMERSET PARTNERSHIP NHS FOUNDATION TRUST SAFER STAFFING REPORT: MARCH AND APRIL 2015 Report to the Trust Board 26 May 2015 Sponsoring Director: Author: Purpose of the report: Key Issues and Recommendations:
More informationTrust Board Meeting 05 May 2016
Trust Board Meeting 05 May 2016 Title of the paper: Sustainability and Transformation Plan (STP) Update Agenda item: 15/37 Lead Executive: Trust objective: Purpose: Link to Board Assurance Framework (BAF)
More informationOUR COMMITMENTS TO CARE A STRATEGY FOR NURSES & ALLIED HEALTH PROFESSIONALS
OUR COMMITMENTS TO CARE A STRATEGY FOR NURSES & ALLIED HEALTH PROFESSIONALS Version: 2 Ratified by: Trust Board Date ratified: January 2014 Name of originator/author: Acting Head of Nursing Nursing & AHP
More informationSummary two year operating plan 2017/18
One Trust - serving our local communities Summary two year operating plan 2017/18 & 2018/19 www.lewishamandgreenwich.nhs.uk Summary two year operating plan: 2017/18 and 2018/19 1. Introduction This summary
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 informationis asked to NOTE the update provided on fragile services.
Recommendation DECISION NOTE (select) Reporting to: The Trust Board is asked to NOTE the update provided on fragile services. Trust Board Date Thursday 27 th July 2017 Paper Title Brief Description Services
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 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 informationIntensive Psychiatric Care Units
NHS Lothian St John s Hospital, Livingston Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We
More informationSCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN
Appendix-2016-59 Borders NHS Board SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN Aim To bring to the Board s attention the Scottish
More information