Welcome to the seventh edition of the Healthcare Events nursing update newsletter – the
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Contents Click on subject to take you straight to specific information on your area of interest
National News Update
High Impact Actions for Nursing and Midwifery
Launched at the Chief Nursing Officer’s summit in November, the High Impact Actions have been selected out of 600 submissions posted by nurses and midwives. They aim to develop good practice thereby improving quality and productivity, more detailed work focussing on the impact of the eight actions is being led by the SHA Chief Nurses:
"These actions, and the engagement of nurses and midwives throughout the country, have the potential to not only transform the care patients receive, but importantly, to also reduce costs. Nurses and midwives have seized the opportunity to lead the way in meeting the quality and productivity challenge."
Further information is available here, and the high impact actions are listed below:
- No avoidable pressure ulcers in NHS provided care.
- Demonstrate a year on year reduction in the number of falls sustained by older people in NHS provided care.
- Stop inappropriate weight loss and dehydration in NHS provided care.
- Increase the normal birth rate and eliminate unnecessary caesarean sections through midwives taking the lead role in the care of normal pregnancy and labour, focusing on informing, educating and providing skilled support to first-time mothers and women who have had one previous Caesarean section.
- Avoid inappropriate admission to hospital and increase the numbers of people who are able to die in the place of their choice.
- Reduce sickness absence in the nursing and midwifery workforce to no more that 3%
- Increase the number of patients in NHS provided care who have their discharge managed and led by a nurse of midwife where appropriate.
- Demonstrate a dramatic reduction in the rate of Urinary Tract Infections (UTIs) for patients in NHS provided care.
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The PM's Commission on the Future of Nursing and Midwifery sets out it's vision for the future
"In our vision nurses and midwives are ordinary people who do extraordinary things – there is so much untapped potential waiting to be unleashed. The Prime Minister has said he wants to see nurses and midwives in control and at the heart of the team leading on quality and safety." Ann Keen Health Minister and Commission Chair
The Commission launched earlier this year to advise the government on the future role of nurses and midwives recently set out a vision that will allow nurses and midwives to transform quality of care, along with a set of ‘hot topics’ requiring further clarification, understanding and debate:
The hot topics:
- Putting service users in the lead of managing their care – the role of nursing and midwifery • Improving the health and well-being of nurses and midwives
- Nurses and midwives leading services
- Transforming workplace cultures and relationships
- Ensuring the transition to degree-level registration for nursing
- The need for clarity on the roles and functions of nursing and maternity support workers
- The need to address the current confusion relating to roles and titles among nurses and midwives to make it clearer for service users
- Spreading and embedding innovation
- Taking responsibility and being held to account for quality and safety in patient care
- Getting nursing and midwifery staff to actively engage in achieving best value in changing economic, environmental and technological circumstances
For further information on the work of the Commission please click here
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Also of interest
Reviewing the role of the Ward Sister and Charge Nurse
Earlier this year the RCN launched a report reviewing the role of the Ward Sister and Charge nurse, the report findings highlight that work urgently needs to done to strengthen and support the role for the delivery of high- quality nursing.
"Ward sisters and charge nurses have many roles, but their responsibility is clear – to oversee patient care on a ward. All ward sisters must have the authority and the resources to make their wards run as well as they possibly can, and this report shows that where this has already happened, patients feel the benefits". Dr Peter Carter OBE Chief Executive Royal College of Nursing
'Breaking down barriers, driving up standards: the role of the Ward Sister and Charge Nurse' is available here
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High Quality Care for All: Our journey so far
Lord Darzi has published a report examining the progress that has been made since High Quality Care for All was published a year ago. The report gives examples of where progress has been made across each quality area – patient experience, patient safety and clinical effectiveness. The report also outlines plans to drive up the quality agenda even further and free up clinicians time to do this. Proposals include:
- Refining of targets based on evidence
- Clinical budget ownership
- Peer review accreditation system
To download the full report please click here
To access the High Quality Care for All website please click here
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Nurse Clinics in Cancer Care
In a Nursing Times interview earlier this year Prof Mike Richards, National Cancer Director, cited nursing as vital to the progress that has been made on tackling cancer and implementing the Cancer Reform Strategy.
"We have made a very good start in implementing the cancer reform strategy, and nurses have been central to this."
The Cancer Reform Strategy aims to improve cancer prevention, speed up the diagnosis and treatment of cancer, reduce inequalities, improve the experience of people living with and beyond cancer, ensure care is delivered in the most appropriate settings and ensure patients can access effective new treatments quickly.
A Practical Guide to Developing and Running Safe and Effective Nurse Clinics in Cancer Care has been developed to provide delegates with an update on implementing the Cancer Reform Strategy two years on and linking with the more recent agenda to deliver high quality care within nurse led cancer clinics and services. With focus sessions and case studies on developing advanced practice and experiences of running cancer clinics, you will be equipped with ideas and resources to take back to your own practice.
PLUS an optional workshop providing practical information on how to set up a nurse led cancer clinic and monitor its success for sustainability.
To view 'National developments in cancer care: update and moving forward' presented at our previous conference, click here
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Conference date:
Wednesday 13th January 2010
Venue: 20 Cavendish Square, London
To download the conference brochure and to book a place, please click here
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Nursing Indicators and Metrics
High Quality Care for All launched by Lord Ara Darzi sets a new foundation for a health service that empowers staff and gives patients choice. It ensures that healthcare will be personalised and fair, include the most effective treatments within a safe system, and help patients to stay healthy. It includes plans to measure the quality of nursing care through a set of metrics which will encompass safety, effectiveness and compassion.
This third national conference follows the launch of the national clinical indicators available at www.ic.nhs.uk, and work to develop national nursing indicators.
Chaired by Gerry Bolger Programme Lead Quality in Nursing Department of Health who is leading a team to develop the national nursing indicators, this conference will provide important updates on the nursing contribution to achieving high quality care for all, focussing on developing indicators and metrics to improve and demonstrate the quality of nursing care, benchmarking against example nursing indicators in practice, and using the data to make improvements.
The programme includes a presentation on Contributing to the drive for Quality, Innovation, Productivity and Prevention (QIPP) with the Energise for Excellence in Care programme – a new strategic health initiative being launched to help improve fundamental nursing care, allowing nurses to compare the quality of patient care against other trusts in England.
To view 'Introducing the National Metrics' presented at our previous conference, click here
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Conference date:
Wednesday 20th January 2010
Venue: Manchester Conference Centre
To download the conference brochure and to book a place, please click here
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Nurse Prescribing
In recent years, nurses have taken on increased responsibility for patient care by treating patients autonomously and by managing specialist clinics. Enhanced roles have not only improved access to and quality of care, but have also provided an important opportunity for nurses to develop their clinical skills including the ability to prescribe.
A one-day two stream conference chaired by Barbara Stuttle CBE Chair Association for Nurse Prescribing, this seventh annual conference held in association with Practice Nurse for the third year running, will provide both primary and secondary care nurse and pharmacist prescribers with updates in supplementary and independent nurse prescribing, placing an emphasis on safety and effectiveness.
The conference includes a parallel stream which will provide an update from the BNF and the opportunity to hear case study speakers sharing their practical experience in different settings. The day will conclude with joint sessions including; legal implications, and a closing presentation from Dr Bill Beeby Chair, Prescribing Committee British Medical Association discussing doctor support for non-medical prescribing.
To view 'Nurse Prescribing: National update and moving forward' presented at our previous conference, click here
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Conference date:
Wednesday 28th January 2010
Venue: 20 Cavendish Square, London
To download the conference brochure and to book a place, please click here
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Nurse Facilitated Discharge
Effective nurse facilitated discharge is essential to improving services by reducing delays, ensuring availability of beds, meeting length of stay targets and to cater for increased admissions. Nurse facilitated discharge helps to speed up processes (traditionally performed by doctors) and ensures an improved patient experience through a planned patient journey.
The seventh national conference, chaired by Liz Lees (editor of 'Nurse Facilitated Hospital Discharge' and lead of the Department of Health publication 'Achieving Timely Simple Discharge from Hospital') focuses on delivering safe and effective nurse facilitated discharge and reducing length of stay. The programme includes a new presentation on supporting surgical patients to recover more quickly and preparing for timely discharge, by using the Enhanced Recovery Programme – a multidisciplinary initiative to prepare patients for surgery and reduce its physical impact, helping patients to recover more quickly.
To view 'Nurse facilitated discharge: nine years on from the CNO Chief 10 key roles for Nurses' presented at our previous conference, click here
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Conference dates:
Tuesday 4th February 2010
Venue: 20 Cavendish Square, London
To download the conference brochure and to book a place, please click here
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Dignity in Care
has received a great deal of publicity recently, following the launch of 200 quality indicators, 53 of which focus on patient experience including whether patients felt they had been treated with dignity and respect*, and following the report released by the Patient Association providing 16 individual examples of poor care, see www.patients-association.org.uk
"Dignity applies equally to those who have capacity and those who lack it. Everyone has equal worth as human beings and must be treated as if they are able to feel, think and behave in relation to their own worth or value. The nursing team should, therefore, treat all people in all settings and of any health status with dignity, and dignified care should continue after death."
Royal College of Nursing 2008
Chaired by Janet Davies Director of Nursing and Service Delivery Royal College of Nursing, and with a presentation by Claire Rayner President Patients Association giving the patient perspective, this sixth national conference will focus on delivering high quality nursing care with dignity and compassion to improve the patient experience, with discussion around monitoring and measuring dignity in care, developing frontline staff, and initiatives to deliver dignity in care.
To view 'Dignity at the heart of nursing: update from the Royal College of Nursing' presented at our previous conference, click here
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Conference date:
Wednesday 24th February 2010
Venue: 20 Cavendish Square, London
To download the conference brochure and to book a place, please click here
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Nursing Leadership
"Raising standards requires leadership, with frontline clinicians empowered and supported to make change happen." High Quality Care for All: our journey so far
With a keynote opening address from David Foster Deputy Chief Nursing Officer Department of Health, ‘A Practical Guide to Developing Nursing Leadership’ will provide an opportunity for Ward Managers/Sisters, Modern Matrons, Senior Nurses and Nurse Managers to strengthen their leadership skills to ensure high quality, safe and effective patient care. With focus sessions on; leading for Quality, Innovation, Productivity and Prevention (QIPP), leading in difficult situations and motivating others, and moving forward as a nurse leader. This is an essential conference for Senior Nurses wishing to lead from ‘ward to board’, take clinical ownership, and influence changes and improvements in the way care is delivered
To view 'Developing Leadership to achieve High Quality of Care' presented at our previous conference, click here
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Conference date:
Friday 24th February 2010
Venue: Manchester Conference Centre
To download the conference brochure and to book a place, please click here
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Nurse Consultant: 10 Years On
June 2000 – Health Secretary Announces Ninety-One New Nurse Consultant Posts
"All nurse consultants will spend a minimum of 50% of their time working directly with patients, ensuring faster, better, and more convenient services. In line with the seniority of these posts, their contribution will be crucial to the development of professional practice, to research and evaluation, and to education, training and development."
Department of Health, 16th June 2000*
Chaired by Dr Kim Manley CBE Manager – Resources for Learning & Improving Royal College of Nursing, and with a keynote address from Deborah Sturdy Nurse Adviser Department of Health, this national conference aims to reflect on the role of the Nurse Consultant and the profession generally, looking at issues and challenges facing today’s Nurse Consultants, the future and opportunities, as well as how current and aspiring Nurse Consultants can develop their core focus areas: expert practice, leadership and service redesign, research, and education.
The programme includes interactive workshops aimed at those who support Nurse Consultants, and aspiring Nurse Consultants, giving each group the opportunity to seek advice and share best practice.
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Conference date:
Tuesday 2nd March 2010
Venue: 20 Cavendish Square, London
To download the conference brochure and to book a place, please click here
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Competence in New Nursing Roles, Skills and Advanced Practice
"The drive to modernise nursing careers also provides support for the existing nursing workforce, building in a range of post-registration development opportunities that reflect the vision and objectives of the NHS Next Stage Review. These include practitioner, partner and leader competencies at different career levels and the six transformational attributes set out in the Transforming Community Services programme."
The CNO Bulletin, Department of Health, April 2009
Chaired by Chris Caldwell Programme Director – Modernising Nursing Careers CNO Professional Leadership Team, Department of Health, the tenth national conference focuses on demonstrating personal competence for career development and progression including information about the planned 'skills passport', and includes case study presentations on developing, measuring and maintaining competence in new skills and different roles.
To view 'Developing competence through education and work based learning' presented at our previous conference, click here
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Conference date:
Wednesday 17th March 2010
Venue: Manchester Conference Centre.
To download the conference brochure and to book a place, please click here
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Recognising and Responding to the Deteriorating Patient
Following the NICE guidance 'Acutely ill patients in hospital' and the NPSA safety report 'Recognising and responding appropriately to early signs of deterioration in hospitalised patients', failure to rescue the deteriorating patient has now been recognised as a potential quality indicator:
"Many possible indicators and existing indicator sets measure nursing’s contributions. Among the most widely used indicators are safety measures such as failure to rescue (death among patients with treatable complications), ..."
Sate of the Art Metrics for Nursing: a rapid appraisal, available at www.kcl.ac.uk
"Research shows that failure to rescue patients whose condition is rapidly deteriorating is an area of significant unintended harm in the healthcare environment. By reviewing a number of key areas of practice in the multi-disciplinary team significant improvements in rates of harm can be achieved."
Patient Safety First – Deterioration Intervention
Chaired by Marie-Noelle Orzel OBE Deterioration Intervention Lead Patient Safety First Campaign and Director of Nursing and Patient Care Royal Devon and Exeter Foundation Trust and with a keynote presentation from Kate Beaumont Head of NHS and Patient Engagement National Patient Safety Agency, this conference provides a practical guide to recognising and responding to the deteriorating patient by improving the reliability of patient observations and benchmarking practice against quality indicators to ensure the safety of acutely ill patients on the wards. In a dedicated discussion session speakers will consider the case for moving away from electronic clinical observations and returning to using manual blood pressure machines to improve response and reduce harm.
To view 'Recognition of and Response to Acute Illness in Adults in Hospital' presented at our Acutely Ill Patients on the Wards conference, click here
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Conference date:
Tuesday 23rd March 2010
Venue: 20 Cavendish Square, London
To download the conference brochure and to book a place, please click here
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The premier conference and exhibition for nurses running effective clinics and services
Healthcare Events are pleased to announce this third annual conference and exhibition for nurses thinking of setting up or currently running clinics across a number of specialities in primary and secondary care.
We are opening part of the 2010 conference to abstracts; which Healthcare Events will assess for inclusion in the conference programme as an oral presentation or poster display. If you would like to submit an abstract further information can be found here or by emailing kerry@healthcareconferencesuk.co.uk
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The deadline for submission is Friday 15th January 2010.
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Further details regarding the event will be available in the next nursing newsletter.
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Further conferences of interest to nurses
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Click on the conference title for further information
Delivering the National Dementia Strategy
Tuesday 12 January 2010, 76 Portland Place, London
Improving the Quality of COPD Services
Tuesday 12 January 2010, 76 Portland Place, London
The Productive Mental Health Ward
Thursday 28 January 2010, Cavendish Conference Centre, London
Falls Prevention in Older People
Thursday 11 February 2010, 4 Hamilton Place, London
Reducing ALL Avoidable Healthcare Associated Infections
Thursday 11 March 2010, Church House, London
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If you have information that you would like to share in the next newsletter or have an idea for a future conference, alternatively if you are interested in speaking at a Healthcare Events conference, please email hannah@healthcareconferencesuk.co.uk.
Previous issues and an up to date list of Healthcare Events nursing conferences are available at www.healthcareconferencesuk.co.uk To sign up for Healthcare Events updates, either by email or post, click here.
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