The Big Conversation about the Quality of Nursing ... - CLAHRC-NDL

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At future events many delegates would prefer the conversations to take place in the afternoon with more time allocated to the open discussions. At this event, people were still trying to capture the issues and had just gained momentum when time was called. Although delegates were interested in this meetings afternoon talks it was felt there were too many and too much emphasis on existing best practice which does not always transfer to different contexts. Future events therefore may needs to be redesigned to allow more conversations between delegates to take place. Key areas to consider may include: Developing leadership How to share best practice, the use of websites and communities of practice to enable sharing and learning Job „swaps‟ to understand each other‟s areas The importance of critical reflective practice Good models of supervision, mentorship, preceptorship. The importance of storytelling How to hear the key voice of frontline staff Promoting a culture of innovation and support The overriding evaluation is that the event was very positive through nurses being heard, having some honest, genuine and open dialogue and positively engaging with like-minded people. The event gave delegates the inspiration and confidence to consider how to take things forward and influence others, and there was a sense of the event being an opportunity that gave nurses hope for the future. The next steps will be a launch of a Nursing Cabinet to oversee the ongoing improvements and bring the strategic priorities into a nursing strategy to facilitate change where the patient voice is heard in a way that is meaningful at every level. 14
Report of the Day’s proceedings There was a wide spread of people from a range of healthcare, institutional and third sector settings. The majority of attendees had a senior role in the provision of care. There were 47 people in either a management or senior role (including directors, matrons, a chief executive), 9 in an academic/media role, 9 RGN‟s below matron/consultant level and 4 patient representatives. The attendance was therefore heavily weighted to those with senior roles in services. Opening remarks: Maggie Boyd- Director of Nursing and Clinical Quality Maggie Boyd opened the proceedings, and expressed her hope that the day would be a great opportunity to help the sector to move forward, that there would be plenty of opportunity for a decent, relaxed conversation, that delegates would feel able to express themselves and that the focus would be towards service users. Mark Todd- Chair of NHS Derby City and NHS Derbyshire County Cluster Mark Todd discussed care from a board perspective, and drew on: 1. The timeliness of the event amidst the current concerns of quality in NHS and Social Care. He spoke about the importance of defining what quality means, and described how it is increasingly defined by the patient and carers experience. Nevertheless, he argued that there is a need to understand, collect and assimilate patient perceptions about care. 2. Integration of the organisation of care, including how to organise a seamless service, and the challenge of working this out. 3. Governance - defining how we know what we are doing is right, and what evidence is required. The delegates heard how we need a range of information sources, and to define the tools we need. 4. Transformation. The challenge is the reduction of costs, whilst also ensuring that patients are protected and quality of care is enhanced. This should be possible through transformation but it raises issues of understanding the potential impact of having to confront the crisis. 5. Context. Not only an aging population but also increasing expectations. Stoicism is now changing to rightly higher expectations of good quality of care. 15
Page 1 and 2: The Big Conversation Tit about the
Page 3 and 4: About the author Bridget Roe is a d
Page 5 and 6: Acknowledgements The author is grat
Page 7 and 8: Executive Summary Background This m
Page 9 and 10: which were complimented by groups s
Page 11 and 12: someone noted, develop an “NHS Sp
Page 13: Feedback Around 50% of delegates fi
Page 17 and 18: 11. Variable quality of monitoring/
Page 19 and 20: 2. Delegate: Are things worse? DEF:
Page 21 and 22: often do not take responsibility an
Page 23 and 24: Delegates from learning disability
Page 25: About CLAHRC-NDL The Collaboration

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