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Ellen Armistead CQC discusses what well-led means at ward level

Ellen Armistead, Deputy Chief Inspector of Hospitals at the Care Quality Commission discusses what well-led means at ward level at today’s Ward Manager conference.

  • 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

Ellen Armistead full presentation is available for download at the end of this page.

In her presentation Ellen stated:

- We get a regular feed of intelligent information from trusts

- We are seeing an increasing number of 'outstanding' ratings in caring

- Clear link between staff engagement and positive patient outcomes

- There is a wide variety, can be a big difference in quality even between bays

- Clear link between care ratings and staffing levels

- Caring is alive and well in the NHS


“By well-led, we mean that the leadership, management and governance of the organisation assures the delivery of high-quality person-centred care, supports learning and innovation, and promotes an open and fair culture. We will report on: Service Vision and strategy, Governance Risk management and quality measurement, Leadership and culture, Public engagement, Staff engagement and Innovation, improvement and sustainability”

Characteristics of outstanding Include…

  • The leadership, governance and culture are used to drive and improve the delivery of high quality person-centred care.
  • The strategy and supporting objectives are stretching, challenging and innovative while remaining achievable.
  • A systematic approach is taken to working with other organisations to improve care outcomes, tackle health inequalities and obtain best value for money.
  • Governance and performance management arrangements are proactively reviewed and reflect best practice.
  • Leaders have an inspiring shared purpose, strive to deliver and motivate staff to succeed. Comprehensive and successful leadership strategies are in place to ensure delivery and to develop the desired culture.
  • There are high levels of staff satisfaction across all equality groups. Staff are proud of the organisation as a place to work and speak highly of the culture. There are consistently high levels of constructive engagement with staff, including all equality groups. Staff at all levels are actively encouraged to raise concerns.
  • There is strong collaboration and support across all functions and a common focus on improving quality of care and people’s experiences.
  • Innovative approaches are used to gather feedback from people who use services and the public, including people in different equality groups.
  • Rigorous and constructive challenge from people who use services, the public and stakeholders is welcomed and seen as a vital way of holding services to account.
  • The leadership drives continuous improvement and staff are accountable for delivering change. Safe innovation is celebrated. There is a clear proactive approach to seeking out and embedding new and more sustainable models of care.


Ellen Armistead Biography

Ellen Armistead is currently a Deputy Chief Inspector for hospitals with specific responsibility for community care. She is the former Chief Executive of Lincolnshire Community Health Services NHS Trust. Having previously worked in the acute sector, the last seven years of Ms Armistead’s career have focussed on community health. Her community services include community nursing and therapy services, primary care, urgent care centres, community hospitals, sexual health, and smoking cessation as well as children and family services.  Also, Ms Armistead brings her professional experience from her background in nursing. She has worked for the CQC as a specialist advisor.

Future events of interest:

Masterclass: Nursing Revalidation
Thursday 10 March 2016, Hallam Conference Centre, London

Demonstrating and Expanding Nursing Competence
Friday 11 March 2016, Hallam Conference Centre, London

In-depth legal masterclass: Informed Consent After Lanarkshire
Tuesday 12 April 2016, Hallam Conference Centre, London

Safe Staffing Summit: Nursing Staffing Levels and Skillmix
Tuesday 12 April 2016, Hallam Conference Centre, London

Download: Ellen Armistead full presentation

26 January 2016


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