Ward Sister/Charge Nurse Support & Enablement Programme

WSCNTL 2014, Kings HallLeading Care, Leading Teams - Innovating and Supporting Person-Centred Care

Context• NHSCT challenges- patient flow, pressures in ED,

waiting times• Need to reduce waiting times in relation to

unscheduled care• Placement of an external agency to:-

– Provide support– Examine performance including:

• Quality • Safety of service • Outcomes• Patient experience

Context : Initial Findings

• Unscheduled care was not owned by all staff• Acute hospital problem• Patient flow problem• A & E problem• Not unique to the Northern Trust

Context:- Areas of focus

• Leadership and Culture• Management of the Challenge• Relationships• Ways of Working• Quality of Care

Context:- Recommendations

‘Leaders should consider how to promote respectful collaborative partnerships to support those at the front line to deliver that care, empowering and supporting staff to provide the best care and treatment possible, recognising and valuing every member of staffs’ contribution to the safe effective patient journey.’

Context:- Turnaround Support for NHCST Final Report

• Insight from front line staff was used to form the building blocks for an improvement plan

• Recommendations:- That lines of accountability need to change to

create a vision and ownership of issues across the organisation.

- Right people and culture that is eager to learn from excellence and mistakes. They can have a ‘can do’ culture.

- Leaders are visible

Wider Context

‘ The general acceptance... that quality needs to be given much greater priority, as is the recognition of the need for support of a high standard of front-line leadership, and better engagement of the talents and knowledge of front-line staff.’

Robert Francis QC (February 14)

Response Director of Nursing

• Enhance leadership capacity and Improve patient care and experience

• Delivery of a Trust led programme for the ward sister and charge nurse

Director of NursingDirector of Nursing

SynergySynergy

Programme Title:- ‘Breaking Barriers, Driving

Standards.’

Programme Development

NIPEC-Competence Assessment - Competence Assessment Tool

‘ Support Team leaders with their professional development, preparation for supervision sessions and KSF development review meetings.’

Competence Assessment - Competence Assessment Tool

Leading CareSupporting Ward Sisters/

Charge Nurses: Career Pathway

PROGRAMME OUTCOMES

• Understand principles of leadership and management

• Able to lead in priority areas identified by line managers

• Able to progress mandatory training requirements

• Training in budgetary management and control

• Understand HR policy requirements: absence, capability

• Identify further development needs: 360 degree feedback

MASTER CLASS 1

Leadership and Management

MASTER CLASS 2

Delivering Organisational Objectives

MASTER CLASS 3

Enhancing Patient and Client Experience

MASTER CLASS 4

Safe and Effective Practice

PROGRAMME OUTLINE

Master Class 1 - Leadership and Management- Domain 3

Who we are What we do What we get+ =

Actions

Behaviours

Outcomes

Performance

Culture

Attitudes

Beliefs

Values

NIPEC Development Framework (2013) www.nipecdf.org

• Gilbert Jessup (1991) • Assessment of learning is a continuous process.

‘ The measure of success of any education and training system should be what people learn from it, and how effectively.’

How will the Learning be Applied?MASTER CLASS 1:

• Dealing with “difficult” behaviours• Giving feedback to staff• Dealing proactively with issues by seeking resolution

MASTER CLASS 2:

• Increased self awareness• Enhanced collaborative planning• Better staff management• Better delivery of care• Improved decision making• Further Development Needs Identified

MASTER CLASS 3:

• Enhanced feedback to staff• Better understanding of budgets• Increased knowledge and skills in dealing with service users

MASTER CLASS 4:

• Better communication of information• Improved application of HR policies• Better understanding of governance• Inspired to audit and make changes in environment and personal outlook

IN SUMMARY . . .

• Excellent opportunity with relevance to the role

• Listened to, valued and inspired

• Enjoyable, informative, productive and educational

• Good to share experiences with colleagues

• Appreciated chance to speak with senior managers

• Inspirational sessions with service users and May Blood

Taking Time Out for “Me”

Final thought.

Every single person and organisation within the NHS, need to reflect from today on what needs to be done differently in the future (Francis 2013)