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News and updates from today's Ward Manager Summit

Amanda Parker & Johanne Midgley 'What does well-led mean at Ward Level?'Amanda Parker & Johanne Midgley 'What does well-led mean at Ward Level?'

Today's summit brings together current and aspiring Ward Managers together to understand current issues and the national context, and to debate and discuss key issues and areas they are facing in practice.  

The day is chaired and opned by Jonathan Willis Ward Manager Royal United Hospital Bath NHS Trust Leadership Fellow, The Health Foundation who focuses on the effective Ward Manager.

Pre-event presentation Abstract:

This short presentation will look at journey of transforming an average ward to an award winning internationally recognised ward. Using the concept of building a pocket of greatness it will show how patient experience and a culture of effective change can develop using transformational leadership. Key principals of “asking the patient” and “asking for forgiveness rather than permission” will be illustrated.

The care of patients with dementia or cognitive impairment will be used as the vehicle to demonstrate the changes – if you can provide high quality care for that group of patients; you will get it right for most.

The Kings Fund principals based on enhancing the healing environment will be touched on. Also the impact of music, volunteer activity coordinator and art therapy will be highlighted.

Once you have built a reputation for being open to innovation and change you will be overwhelmed with offers of support. The process becomes almost self-perpetuating.

The experience of his mum's death had a big impact on Jonathan's career, he wanted to influence direct patient care and moved from a matron role to that of Ward Manager of an elderly care ward.  In this role he is able to influence his immediate environment being his ward. He started making improvement changes with safety through better understanding of the patient and adapting the ward environment to suit their wants and needs. Jonathan said the transformed ward is now; "calm and quiet...such an incredible difference".  Patients were asked what they want, and staff were given dementia awareness training to better understand the patient experience.

Amanda Parker Director of Nursing and Patient Safety and Johanne Midgley Ward Manager Western Sussex Hospital continued with a joint session on What does well-led mean at Ward level? covering:

● what does well-led mean at ward level: learning from the CQC inspections to date and ward level findings
● outstanding and good wards: examples and what this looks like in practice
● what qualities to great wards have?
● what the inspections will look at on your ward: key lines of inquiry and an overview of the inspection process

Download the full presentation here

Western Sussex Hospital NHS FT has been rated as Outstanding by the CQC and ward accreditation was an aspect of the trust vision that was seen to support the delivery of quality.

Pre-event presentation Abstract: Ward Accreditation 

Ward accreditation is a performance framework that is based upon the Care Quality Commission’s fundamental standards of care it provides an objective assessment tool to review the safety and quality of care delivered on wards across Western Sussex Hospitals NHS Foundation Trust (WSHFT).

Measuring the quality of nursing care delivered by teams is not easy. Previously information was collated from a variety of sources and analysed by different groups within the Trust. 
Currently Ward accreditation status is measured through observational assessments, documentation audits, patient and staff interviews and a review of ward level performance metrics.

The Ward Accreditation framework is designed around the standards listed below with each one being subdivided into 3 elements: Environment, Care and Leadership:

1.    Organisation and Management of the Clinical Area: The clinical area is effectively managed and organized in a way that benefits patients, staff and visitors.
2.    Safeguarding Patients: Patients feel safe, secure and supported.
3.    Pain Management: A pain management plan is e developed with the patient by the medical and nursing team aiming to control the pain with consideration of risks-benefits. 
4.    Patient Safety: Patient’s vital signs are observed and any deterioration is documented and communicated to medical staff. 
5.    Environmental Safety: The environment is safe for patients, staff and visitors. 
6.    Nutrition and Hydration: Patients are enabled to consume food (orally) and fluids which meets their individual needs.
7.    End of Life Care: Patients have control over their own health care and promote independence.
8.    Medicines Management: Avoidable patient harm in relation to medicine management will be reduced.
9.    Person Centered Care: Every patient is treated as an individual, with compassion every time.
10.    Pressure Ulcers: The condition of the patient’s skin will be maintained or improved.
11.    Elimination: Patient’s bladder and bowel needs are met.
12.    Communication: Patient and carers experience effective communication, which promotes high quality care for the patient. (This includes written communication).
13.    Infection Control: Patients are cared for in a clean environment and staff demonstrate good infection control practice.
14.    Staff Safety

The aim is to support ward managers to identify what is working well and where further improvements are needed. This process promotes the development of a strong culture of continuous improvement within the Trust and enables teams to develop from delivering good care to excellent care.

The introduction of the Ward Accreditation Dashboard has provided senior nurse managers with feedback on a monthly basis of key performance metrics at ward level.

Ward Managers and Matrons were initially cautious of the introduction of a third party other than their immediate line manager assessing their performance. However confidence has increased as staff have realised that the process is supportive and provides a mechanism to share best practice across the Trust.

During 2015/16 38 wards were assessed as achieving bronze status. Results of the initial assessments range from 59% - 89%. All wards have action plans in place. Two ward teams have recently been celebrated for achieving silver status.

Professor Helen Young Chief Nurse/Director of Nursing and Midwifery Birmingham Women’s NHS Foundation Trust closed the day with a focus on 'From Ward Manager to Clinical Leader: Ward Manager Development' including:

• from Ward Manager to Clinical Leader
• our Ward Manager Development Programme
• ensuring staff feel able and confident to raise concerns and comply with the duty of candour

To follow

Future events of interest:

Safe Staffing Summit: A Practical Guide to Safe and Effective Nursing Staffing Levels and Skill Mix
Tuesday 18 October 2016 
Hallam Conference Centre, London

Effective Discharge Planning and Practice
Wednesday 19 October 2016 
Hallam Conference Centre, London

Measuring, Understanding and Acting on Patient Experience Insight
Tuesday 29 November 
Hallam Conference Centre, London

Always Events® UK Summit: A positive approach to Improving Patient Care
Wednesday 30 November 
Hallam Conference Centre, London
Pressure Ulcers Summit
Wednesday 7 December 
Manchester Conference Centre, Manchester

21 September 2016


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