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Meeting and Measuring Progress against the CQC Quality Ratings

Alan J Nobbs, Senior Programme Lead, Programme Delivery & Frameworks, NHS Leadership AcademyAlan J Nobbs, Senior Programme Lead, Programme Delivery & Frameworks, NHS Leadership Academy

News and presentations from todays conference focusing on meeting and measuring progress against the CQC Quality Ratings chaired by Professor Simon Mackenzie, Senior Medical Adviser, NHS Improvement

Care Quality Commission Inspections: National Update
Nicola Wise, Head of Hospital Inspection, London

Full powerpoint presentation

In her presentation Nicola made the following remarks:

  • It is critical that leaders know what is going on
  • Strong governance is key
  • Empowering and engaging staff is the main key to driving improvement
  • When staff are encouraged to flourish it promotes a no blame culture and empowers staff to lead quality initiatives
  • Sharing learning from incidents halps to make improvements

 

On changes to assessment, Nicola said:

  • The new framework aims to strengthen and simplify the assessment process
  • IT can be used to make services more efficient and sager
  • The new assessment process will reduce from 18 months to 12 months
  • The wait time to receive the final report will reduce to 2-3 months
     

Care Quality Commission, Driving Improvement: Tackling variation on the wards
Chris Pearson,
Executive Director of Nursing, East Lancashire Hospitals NHS Trust

Chris explained getting the culture right is key, so that staff are able to stand up and speak up, she said it's important to encourage staff to raise concerns they have and for them to Support each other.

Pre-event abstract
East Lancashire Hospitals NHS Trust went into special measures in July 2013, following a review by Sir Bruce Keogh. In May 2014, a CQC inspection found that the Trust has made enough progress to come out of special measures and rated the Trust as requires improvement. A focused inspection in 2015 and a Well Led Review in September 2016, the Trust was rated GOOD overall. Addressing variation in quality on the wards was an area of focus during this time and this brought the introduction and implementation of the Nursing Assessment and Performance Framework. A tool for assessing care that promotes the four aspects of safety, communication, accountability, multidisciplinary team working and leadership. The assessment is based on the CQC 5 Key Lines of Enquiry. The assessments are carried out using a team approach which is unannounced. A rating is given to each ward following assessment and actions are taken. Assessments are repeated based upon the outcome. Getting the culture right was key and at the start there was a culture of not wanting to measure things, not wanting to monitor things and not wanting to report things because staff didn’t feel comfortable to do so. A focus on developing a culture for staff to stand up and speak out was developed.
The Trust is committed to continuing with the quality improvement work and is aiming for an OUTSTANDING rating.

Full powerpoint presentastion
 

Leading Quality Improvement: Developing your leadership skills​
Alan J Nobbs, Senior Programme Lead, Programme Delivery & Frameworks, NHS Leadership Academy

Full powerpoint presentation

 

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30 April 2018

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