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Val Moore NICE Discusses The NICE Guidance on safe staffing levels

Val Moore Guidelines Implementation Programme Director Health and Social Care National Institute for Health and Care Excellence Discusses The NICE Guidance on safe staffing levels at today’s conference:

  • NICE’s role in ensuring NHS services have enough staff to provide efficient, safe care for patients
  • implementing the NICE Guidance for Safe nurse staffing of adult wards in acute hospitals
  • guidance in development

In her presentation Val States: 

"What does the NICE Guidelines give you?

  • Approaches for registered nurses to determine their ward’s nursing staff requirements
  • A practical guide for senior nurses to set ward nursing staff establishments
  • Lists ‘red flag events’ which indicate an immediate need for additional staff
  • Methods for nursing managers/matrons to monitor and evaluate that wards are adequately staffed for patients’ needs"

"Key messages in the guideline:

  • Staffing levels relate to patient needs
  • Registered nurses and skill mix
  • Role of red flags
  • No single minimum number
  • Monitoring and flexibility is important"

The guideline states: “there is evidence of increased risk of harm associated with a registered nurse caring for more than eight patients during a day shift.”

"Registered nurses remain accountable for the overall care"


The presentation started with a reminder of NICE’s role and approach to the guidance development process, and what guidance on safe staffing is to come. The main messages from the guideline on safe staffing of adult wards in acute hospital wards will be summarised. Assessing the potential impact of the guideline is important and NICE’s approach to this will be briefly explained. There are tools to support putting the guideline into practice, and examples from local organisations. The St George’s Hospital example will be presented and there will be a call for others to be collated on the NICE website, alongside the tools to help at the local level.

Val Moore full presentation is available for download at the end of this page.

Val Moore' Biography:

Val Moore joined NICE in 2005 following the merger of NICE and the Heath Development Agency and was the first of a new team of field based NICE Implementation Consultants.

From 2008- 2010 she was appointed interim Implementation Director. During this time Val managed the introduction of the QOF and Quality Standards programmes, now established as full programmes in their own right.

Now, as Guidelines Implementation Programme Director, Val is has continued her responsibility for the programme of work designed to enable better implementation of NICE guidelines and use of quality standards. This includes: external engagement to develop and maintain important relationships with organisations and networks at the local and national levels; practical support products such as for costing and commissioning, audit, education and other implementation tools designed to address barriers and levers to implementation of guidance; evaluation of uptake of guidance and shared learning examples of how it is put into practice locally.

Val’s previous roles include teaching, health promotion and in senior management positions relating to evidence into practice in Cambridgeshire Health Authority and the East of England region.

Forthcoming events of interest:

Masterclass: Nursing Revalidation
Tuesday 10 February 2015 
Hallam Conference Centre, London

Masterclass: Nurses, Midwives and the Law
Thursday 5 March 2015 
BPP University, Waterloo, London

Effective Ward Manager
Monday 16 March 2015 
Hallam Conference Centre, London

Nursing Appraisal and Revalidation
Thursday 26 March 2015 
ICO Conference Centre, London

Masterclass: Workforce Planning
Thursday 23 April 2015 
BPP University, Waterloo, London

Implementing The NMC Revised Code of Conduct, Standards and Ethics for Nurses and Midwives
Tuesday 19 May 2015 
Hallam Conference Centre, London

Download: Val Moore's presentation

27 January 2015


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