Integrated Governance Report 2008 - Nuffield Health

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34 INTEGRATED GOVERNANCE REPORT 2008 35 04 TRAINING, LEARNING & DEVELOPMENT The Learning Management System 2008 witnessed the Group wide launch of the Nuffield Health Learning Management System (LMS). This new system will provide the whole business the following benefits: 1. All employees will be able to view, plan and book classroom or online based learning 2. Print and store certificates for courses 3. Participate in peer forums with instant access to knowledge, associated learning content and Frequently Asked Questions. 4. Run reports for individual learning, Group wide risk management training, and professional development. 5. Find and print handouts and other learning & development based documents 6. Courses can be found using a graphic calendar, keyword search or by browsing a picture based course catalogue 7. Based on indicators the LMS can alert, via email, key governance employees to a reduction in compliance of risk management training 8. Based on role, new employees will be automatically allocated all their Mandatory and Statutory risk management training and then attendance is automatically monitored by the LMS Diagram 5 Automatic designation of training based on Role Classroom and Online Course Scheduling LMS Personal Development Plans Fitness & Wellbeing Innovation 2008 witnessed the Group wide launch of the Nuffield Health Learning Management System (LMS). This new system will provide the whole business the following benefits: • Our Corporate Wellbeing Advisors are now required to attain a First Aid course at Work (FAW). • We have introduced an annual respiratory training programme for our physiotherapists to ensure training refreshers each year. • The Fitness & Wellbeing sector has introduced an additional health and safety trainer in 2008 so that a greater level of health and safety training is delivered internally to ensure continued quality standards. • Our Senior Wellbeing Advisors completed a structured training programme followed by 15 practise Vi1 Health Assessments and a competency sign off by the Professional Head of Fitness. • Our Wellbeing Advisors completed a two day training course including an initial safety approval followed by 15 Vi1 Health Assessment practices and a competency approval. 174 Wellbeing Advisors have completed training. • A continuing programme of Wellbeing Advisor training is scheduled to operate throughout 2009. A Senior Wellbeing Advisor ‘Grow Our Own’ programme will be designed and implemented in 2009 to train Senior Wellbeing Advisor designates. • A programme of continuing professional development will be designed and implemented for all Wellbeing Advisors and Senior Wellbeing Advisors in 2009 following the same industry beating model we have used for physiotherapy and physiology. “All employees will be able to view, plan and book classroom or online based learning” Mandatory Training IT Training Clinical Training
36 INTEGRATED GOVERNANCE REPORT 2008 37 05 WORKING WITH DOCTORS Doctor Engagement is an integral part of the day to day management of the hospitals and there is a central team whose function is to support and advise the hospitals and operational managers. The central programme for doctor engagement in 2008 comprised two elements: •Operational Management and clinical and corporate governance. •Development of new ways of working with consultants in partnership. At the end of the 2008 Nuffield Health introduced Practice Privileges Plus (PP + ), a new and innovative model for working in partnership with our Consultants Operational Management Healthcare is constantly changing and evolving. Governance monitors that change to ensure safe and effective care delivery. Independent healthcare is no different. Practising Privileges In 2008 Nuffield Health reviewed the way practising privileges (PPs) licences are administered and managed within hospitals. This review identified the need to update both the policy and the administration process. There is a project underway to centralise the administration of PPs, and reduce the burden on the Consultants who currently have to provide the same information to each hospital at which they practice. This database, whilst held centrally, is managed locally and will allow for central monitoring on compliance with many mandatory and local requirements; for example – Criminal Records Bureau (CRB) clearance, data protection registration, clinical audit data and whole practice appraisal. This will make it much easier for Nuffield Health to provide consultants with information they require for whole practice appraisal, and re-licensing and revalidation when it is introduced by the General Medical Council (GMC) in 2009. The early stages of work are underway to enable information on the database to be linked into the Nuffield Health website for patients to view the profile and agreed data of a consultant to whom they have been referred. The practising privileges policy has been reviewed and the new version is currently out for consultation and implementation during 2009. Nuffield Health is participating in a working group set up by the Independent Healthcare Advisory Services, and chaired by Dr Andrew Jones, Group Medical Director of Nuffield Health, to review Practising Privileges across the independent sector and recommend a framework for policy development. Nuffield Health has been instrumental in developing that framework and the new practising privileges policy will reflect that work. Reviews The Doctor Engagement team has undertaken several reviews in response to requests from consultants. • The requirements for CRB clearance have been reviewed and confirmation obtained that CRB clearances are not transferable outside Nuffield Health. Consultants are unable to use clearances obtained elsewhere, or in turn to use their Nuffield Health clearance somewhere else. An advice paper regarding the introduction of the Independent Safeguarding Authority and the requirement for people working with children and vulnerable adults to register with them in 2009 is being developed and will be issued in early 2009. • There was a review of consultants’ registration on the GMC specialist register. This identified a small number of consultants who were not on a register, and Nuffield Health met the GMC to discuss future registration. With the introduction of the re-licensing and revalidation programme in 2009, those consultants who are not currently on the specialist register and who have been tied up in the PMETB application system should be able to register later this year. • A review of the data protection requirements for consultants was undertaken and guidance issued that all consultants engaged in delivering care in the independent sector should be registered as data controllers with the Information Commissioners Office. This is now a requirement for maintaining practising privileges within Nuffield Health. • Consultants’ compliance with policies and procedures within Nuffield Health was reviewed and Nuffield Health reissued the Consultants handbook which gives requirements, brief details and the location of all policies and procedures that apply to Consultants. It is an aide memoire and ensures all consultants are aware of the Care Standards Act, the National Minimum Standards and the personal requirements and responsibilities that arise from them. Partnership with Consultants The last year has seen a focus on improving communication with consultants. This happened in several ways; with the Group Chief Executive roadshows when David Mobbs and Trish Cassidy visited all parts of the country and met with consultants; with conferences for the Medical Advisory Committee Chairs, the Designated Consultants who advise on Clinical Governance, and Orthopaedic representatives. And with ‘Future Thinking’ our regular newsletter for consultants. It has culminated in the introduction of Practice Privileges Plus (PP + ), a new way of working with consultants that rewards loyalty and business growth, and concentrates on developing the relationship into one of partnership working. Each focused on the quality of care within Nuffield Health, although in slightly different ways. The Medical Advisory Committee Chairs’ conference was entitled ‘Quality Counts’. It discussed two questions in depth ‘Has quality made a difference?’ focusing on the last year in Nuffield Health and ‘How will quality matter in the future?’ looking at how quality will be measured and delivered in the future. The meeting agenda also covered the changes in re-licensing and revalidation; and the role of Medical Advisory Committees within Nuffield Health. The Designated Consultant forum also entitled ‘Quality Counts’, focused on reporting the clinical governance data from the last year and risk in the Healthcare workplace. There were workshops to discuss different scenarios, and a discussion about the role of the designated consultant. The Orthopaedic Consultants’ conference also had quality as a key theme running throughout the day. It asked the question – How does quality affect the orthopaedic market?, and focused on Nuffield Health’s approach to quality in orthopaedic care, looking at last year’s outcomes and future quality management. At the end of the 2008 Nuffield Health introduced its new and innovative model for working in partnership with Consultants which commenced on 1st January 2009. PP + rewards consultants for their loyalty and for increasing activity with Nuffield Health. It also creates a partnership that develops patient pathways and aims to improve patient care.
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