Quality & Safety: Impact on Nursing and Midwifery Care

Phelim QuinnDirector of Nursing,

Regulation & Quality Improvement Authority

Our changing environment

Regulated Services Children’s Home 54 Nursing Home 252Residential Home 239 Adult pl’ agency 4Day care setting 41 (164 pre-reg)Dom’ care agency 236 ( 76 pre-reg)Res’ family centre 2 ( 6 pre-reg)Independent clinic 22Indep’ hosp/hospice 9Nursing agency 23

New areas of work

• Unannounced hygiene inspections• Functions of the former Mental Health

Commission• OPCAT (UN Optional Protocol to the

Convention against Torture) • IRMER (Ionising Radiation (Medical

Exposure) Regulations 2000

Quality – “Putting it to Rights”

Value Proposition

• "Providing independent assurance about the quality and availability of health and social care services in Northern Ireland, encouraging continuous improvement in those services and safeguarding the rights of services users".

Core Activities

Improving Care Informing the

Population

Safeguarding Rights

Influencing Policy

“Health is a fundamental human right indispensable for the exercise of other human rights. Everyone is entitled to the enjoyment of the highest attainable standard of health conducive to living a life in dignity.” CESCR General Comment No. 14 (2000)

What do we mean by a Human Rights Based Approach to change

The process by which rights are made a reality in peoples lives by: – Putting the realisation of human rights principles and

standards at the heart of policy, planning and delivery (using a HR lens)

– Ensuring clear accountability throughout the organisation – Empowering staff and patients with knowledge, skills and

commitment to realising human rights– Enabling meaningful participation of all key stakeholders– Non-discrimination and attention to vulnerable groups

What the Trusts Say• NHSCT: “patient and client centred,

engagement openness, honesty and respect.”

• SHSCT: “….the high value of an individual and his or her relationships, and as a consequence facilitates the person in making informed decisions about their care, whilst responding flexibly and sensitively to their needs.”

What the Trusts Say

• BHSCT: … “we will treat everyone with dignity and respect and respecting the choice of service users.”

• WHSCT: “openness, honesty and respect for all.”

• SEHSCT: … “person centred in their approach, respecting individuality and choice”

Rights Based Approach

“Improving the Patient and Client Experience”DHSSPS 2008