News and updates from today's Safe Staffing Summit
This National Safe Staffing Summit focuses on delivering safe and effective nurse staffing levels and skill mix in practice. This evidence is clear that safe and effective nurse staffing levels improves the quality of care and patient safety. This is particularly important considering the CQC findings on staffing and the recent RCN survey where over half of the 9504 survey respondants said that their last “shift was not staffed to the level planned and that care was compromised. One-third report having to leave elements of patient care undone due to a lack of time, while twothirds are working extra time – on average another hour per shift, for which they are hardly ever paid.” (RCN 2017)
Wendy Preston Head of Nursing Practice The Royal College of Nursing opened the conference with an update on 'Safe staffing: Where are we now?' and will cover;
- safe staffing: learning from ‘Safe and Effective Staffing: against the odds’
- what do we mean by safe and effective staffing? Current evidence
- linking with outcomes and mortality
- context for safe-staffing
Head of Nursing Practice at the RCN: Since qualifying as RGN in 1992 Wendy has continued studies, achieving MSc in Respiratory Care with post graduate certificates in prescribing and higher education and practices clinically as an Advanced Nurse Practitioner and Honorary Respiratory Nurse Consultant.
Previous teams include Nursing Times ‘Team of the Year’ 2014 (acute medical unit/ ambulatory care) and Senior Lecturer at Coventry University. She is involved with policy and clinical practice leadership at a national and international level and co-edited a respiratory book published in 2016. Her work was acknowledged in 2014 by being recognised as an HSJ Rising Star. Wendy is the current Chair of ARNS and a board member of ERNA & ESNO.
The morning continued with a presentation from Ann Casey Senior Clinical Workforce Lead NHS Improvement on 'Safe, sustainable and productive staffing'
- nursing staffing levels and skill mix: getting it right for patients
- implementing the NHS Improvement Guide
- safe, sustainable and productive staffing: an update from the National Workstreams
Joanna Doyle All-Wales Nurse Staffing Programme Manager Public Health Wales concludes the morning sessions updating delegates on 'The Welsh Experience of legislating Nurse Staffing Levels' including:
- legislation and nurse staffing levels the journey so far
- developing the triangulated approach
- Implications for current staffing and future workforce planning
Pre conference abstract:
All Wales Nurse Staffing Programme
Working with NHS Wales 1000 Lives is supporting the design and delivery of a national programme of work that will enable Welsh health boards and trusts to calculate the right number of nurses required to provide effective care for patients. The programme, known as the All Wales Nurse Staffing Programme, supports NHS Wales prepare for and meet the requirements of the Nurse Staffing Levels (Wales) Act became law in Wales in March 2016.
The Act is the first of its kind and will prove to be the most significant and influential driver for patient quality and safety, as it requires health service bodies to ensure that they are providing sufficient nurses to allow the nurse’s time to care for patients sensitively.
As the nursing workforce makes up a significant proportion of the NHS Wales workforce, the Nurse Staffing Act will have major implications for service delivery and workforce planning. Health Boards must ensure that they are prepared and able to provide the necessary assurance to fulfil the requirements of the act and develop common concepts, methods and tools that will ultimately enable Health Boards to publish a report on levels of nurse staffing as required by the Act. This report will require a robust process of data gathering, triangulation and reporting to become integral to the ongoing operational management and strategic development of the nursing workforce within Wales. It is only through a comprehensive picture of the demands facing nursing staff that we can provide reassurance to the public, board members and Welsh Government that levels of nurse staffing across Wales are both safe and effective.
Led by the Chief Nursing Officer and Directors of Nursing in every Health Board and Trust in Wales, working groups have been set up to review the current methods of measuring patient acuity and determining appropriate staffing levels. Within the overarching programme of work there are currently 6 active work streams: Adult Acute Medical and Surgical Inpatient wards, Inpatient Mental Health, Health Visiting, District Nursing, paediatrics and care homes. The role of each work stream is to devise an evidence based approach to determine appropriate staffing levels within each specific area ensuring that the approach has been validated for use in Wales and follows a common model of triangulation.
NHS Wales has made significant progress in delivering the All Wales Nurse Staffing programme and through widespread engagement with stakeholders, continues to raise the profile and support for this national programme of work. With representatives from every welsh health board, each work stream is making good progress towards developing the methods and tools they will need to use, as part of a triangulated approach, to inform the deployment of nursing staff within their areas of speciality. Nursing staff and managers recognise the importance of developing an evidence based workforce planning tool to inform the deployment of nursing staff to meet their patient needs. The support and commitment from staff who have participated in developing, testing and evaluating the work has proved influential in driving forward this high profile programme of work.
Joanna qualified as a paediatric nurse in 1995 and has since obtained a degree in Nursing, a degree in Childrens Community Nursing and a teaching qualification. She is currently undertaking an MSc in Advanced Nursing Practice. Over the last 20 years Joanna has worked within a wide range of paediatric hospital and community environments and fulfilled Senior management roles within Aneurin Bevan Health Board.
In 2002 Joanna devised and delivered a bespoke personal and sexual health educational programme for children and young people with special needs and learning disabilities. Her work has been presented at Local and National conferences and she has published papers within professional nursing journals and nursing literature.
Within her current role, as the All Wales Nurse Staffing Programme Manager ,Joanna co-ordinates the allied programmes of work, ensuring that stakeholders are appropriately engaged and informed and provides direct support to the All Wales Nurse Staffing Group, work stream leads and Health Boards across Wales in the development and delivery of the National Nurse Staffing programme.
Future conferences of interest:
Ward Manager Summit
Demonstrating & Improving Nurse Prescribing Competence & Practice: Implementing the National competency framework for all prescribers
Hospital at Night Summit: Delivering a 24/7 Hospital
Getting Patients Up, Dressed and Moving
Nurse Prescribing in Cardiology
9 March 2018