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

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Forward Recently, the quality of nursing care in health and social care has attracted much media attention and has been a shocking reminder to patients, carers and professionals of the impact of poor professional practice, poor leadership and unhealthy cultures. As with Castlebeck, sometimes it is just cruel individuals inflicting harm and using their power on vulnerable patients. It is disappointing that excellent nursing practice is not systematically applied across health and social care and that inconsistencies exist. These inconsistencies impact greatly on patients and families and cause much stress and anxiety. NHS Derbyshire and Derby City consider improving the patient experience for residents as a key priority. At first, it is important to understand what are the patients’ stories and experiences, what are the challenges facing staff, how can we improve care and where is the patient’s voice in our planning and delivery of services. While we recognise that there is excellent care, this is not consistently delivered. Patients are our biggest resource but in the recent past we have not recognised that working closely with us can bring about real change that is sustainable. It is often small actions that make a significant difference. Thus, our shift in thinking and approach commenced with an event to listen to views and opinions from staff and patient groups – The Big Conversation. This is the first step on a journey to promote improvements in ‘care’ across Derbyshire. I hope you find the report of interest as it captures the stories and themes from the day. It is the start of our journey to make sure the patient’s voice is heard through the health reforms. I would like to thank my Director colleagues for their leadership and Bridget Roe for her attention on the day to capture the obvious - and not so obvious - to write the report. Any feedback or ideas are welcome. Maggie Director of Clinical Quality &Nursing NHS Derbyshire County PCT 2
About the author Bridget Roe is a doctoral researcher at Nottingham University Business School/CLAHRC-NDL. She has 22 years‟ experience as a nurse, midwife and care home manager and has worked in the charity sector as a project leader. After gaining a BA in Human Resource Management and an MA in Management and Organisational Analysis at Warwick Business School, Bridget is currently researching the learning and socialisation of novice nurses in the context of current policy and practice. The Directors of Nursing Maggie Boyd is Director of Clinical Quality and Nursing for NHS Derbyshire County PCT. She has 30 years‟ experience as a nurse, midwife and Health Visitor with clinical experience in acute surgery, accident and emergency, occupational health, midwifery, health visiting and public health development work. Maggie‟s first leadership role was as King‟s Fund clinical leader of a health visiting team in a socially deprived area with chronic staff shortages. Senior roles have included primary care development in a London Health Authority, NHS Executive Director roles since 2000 within NHS Trust Community Provider, Workforce Confederation, SHA and since 2006 in Derbyshire PCT. Maggie is a Florence Nightingale Scholar 2011/12, a member of the Nursing Times editorial team and also a clinical fellow from Derby. Kath Henderson joined Derbyshire Community Health Services as Director of Quality and Chief Nurse in June 2011. She is a qualified nurse and has worked within the NHS since starting her nursing career in 1977. She has worked in a variety of roles and organisations including the acute sector, an integrated NHS Trust (acute, community and mental health services), a specialist children‟s NHS Trust, NHS Direct and a Primary Care Trust. Prior to moving to DCHS Kath was the Managing Director and Chief Nurse for Rotherham Community Health Services. In addition to her nursing qualifications Kath has a MSc in Health Economics and Management. Kath is a Trustee at Bluebell Wood Children‟s Hospice. She is married and has three daughters. Paul Lumsdon is Director of Nursing at Derbyshire Healthcare NHS Foundation Trust. He has worked within the NHS for 26 years and is very proud of the nurse training he received in Macclesfield. Since qualifying, Paul has gained clinical experience in a broad range of mental health services including Child and Adolescent Services, Adult of Working Age and Older Peoples Services working in areas such as Cheshire, Derbyshire, South Wales and Dorset. Paul has gained management experience in various setting within primary care, community care, district general as well as mental health services. Prior to joining the Trust, Paul had been working as Nurse Executive for 14 years 3
Page 1: The Big Conversation Tit about the
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 and 14: Feedback Around 50% of delegates fi
Page 15 and 16: Report of the Day’s proceedings T
Page 17 and 18: 11. Variable quality of monitoring/
Page 19 and 20: 2. Delegate: Are things worse? DEF:
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Page 23 and 24: Delegates from learning disability
Page 25: About CLAHRC-NDL The Collaboration

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

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