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Nursing Metrics for Quality conference

Howard Catton speaksHoward Catton speaks

Margaret opened the conference by discussing the 6Cs and the linkages with nursing metrics and dashboards. Margaret also discussed her experience and the importance of culture and looking around, opening your eyes to what is happening in your service. 

Margarets presentation includes:

• promoting the use of measurement and openness to understand and improve  care: moving forward with ‘Open and Honest Care’
• Compassion in Practice and the 6C’s : National developments and progress
• monitoring progress against the implementation plans and six action areas at ward and organisational level 
• ensuring an open reporting culture in terms of monitoring 
• current national nursing metrics and looking forward 
• recognising excellence in nursing and in the implementation of 6Cs 

Howard Catton Head of Policy RCN continued the conference from a policy perspective, emphasizing how measuring quality and nursing metrics has climbed the policy agenda since Mid Staffordshire. Howard focused the importance of culture, leadership, clinical outcomes and staffing levels and the importance of metrics in identifying how we are performing in these areas. However Howard stated that we need a human factors approach to improve quality of care, we need to look beyond just counting. 

Howard went on to discuss the importance of nurse staffing to nursing quality.  Howard stated that we should expect news on nurse staffing following the Lord Carter NHS Productivity Review Report. 

Howard concluded by discussing revalidation with the first registrants revalidating under the new model from April 2015. 

His presentation covered:

• how key nursing metrics link to wider changes in health policy 
• maintaining quality and balancing the NHS productivity challenge
• ensuring safe staffing levels
• accountability for quality in nursing: linking to nursing revalidation   

Howards biography:

Howard qualified as a registered nurse in 1988 and held a variety of nursing posts in England and the United States. He studied social policy in Cardiff (BSc Econ) and Industrial Relations at Warwick (MA) and has worked as a Personnel and Organisational Change Manager in the NHS.
In 2005, he was appointed Head of Policy at the RCN and Head of Policy & International in 2010.  His department work with a wide range of stakeholders, including government and think tanks, on the development and implementation of policy at home and overseas to ensure nursing influence and voice.  The department also leads on supporting the RCN’s sister nursing associations and alliances internationally.  Howard was named in the HSJ top 100 Clinical Leaders list for 2015.

Dr Shelley Dolan Chief Nurse Royal Marsden NHS foundation Trust focused on the importance of measuring nursing metrics across the whole patient journey rather than just in one location such as a hospital and discussed the development of the new vanguard site and measuring for improvement. Shelley discussed the importance of the “So What?” question in terms of metrics and measurement ensuring that if you are measuring something it leads to improvement and has an impact on care. Many of our outcome measures and measures of process just measure a part of care – we need to join up these measurements and reduce the gaps in care.

Shelley went on to discuss the importance of values in caring and talked about the experience of their critical care unit in defining and embedding values into care. Shelley discussed getting the right balance between transactional and relational care which is often difficult. Shelley said we want to be efficient and warm. We want to get both right. In our dashboards therefore that’s what we need to measure which is difficult but what we need to aim for. 

In terms of staffing Shelley said its not just numbers

Shelley's presentation covered:

• setting up a ward accreditation programme
• measuring and monitoring quality at ward level 
• changing culture and practice at ward level
• improving quality at ward level through benchmarking 


Full presentations are available to download at the end of this page.


Future conferences of interest:

Managing and Reducing Bank and Agency Staff in Nursing
Tuesday 19 January 2016 
Hallam Conference Centre
Nurse Prescribing for Wound Care
Tuesday 19 January 2016 
ICO Conference Centre
Nursing Appraisal and Revalidation & implementing the New NMC Code of Practice
Wednesday 20 January 2016 
ICO Conference Centre
Effective Ward Manager
Tuesday 26 January 2016 
ICO Conference Centre


Download: Howard Catton's presentation

7 December 2015


    Partner Organisations

    The Tavistock and Portman NHS Foundation TrustInPracticeClinical Audit Support CentrePlayoutJust For Nurses
    GGI (Good Governance Institute) accredited conferences CPD Member ASGBI (Association of Surgeons of Great Britain and Ireland) professional partner BADS (British Association of Day Surgery) accredited conferences