The Nursing and Care Quality Forum is an independent advisory group that aims to improve the quality of nursing care across all care settings. In our first letter to the Prime Minister we identified a series of initial recommendations that we believe will help support high quality care. We know that in many areas, these are already being taken forward successfully, and we want to share the lessons learned from these to help best practice become common practice.
We want to hear from individuals and organisations that have already successfully implemented work in these areas and the impact this has made to the quality of care provided.
We plan to collate the information, identify common themes and success criteria, and then share key messages from these findings with those involved in delivering care.
We want to hear from organisations and individuals about the steps they have taken to bring about change in the following areas:
1. Implementing and supporting supervisory status for ward and community team leaders in all care settings. By supervisory status we mean leaders that have a significantly reduced case load so that they have time to effectively undertake their leadership role, supporting the teams they lead to deliver the best quality care.
2. Leadership development programmes in place (structure and content, including describing any competencies, behaviours and job descriptions that support this work).
3. Education providers examples of leadership development and/or fast tracking nurses with leadership potential.
Time to care
1. Reducing the burden of bureaucracy for front line nursing teams, for example through streamlining assessment processes, using technology and smarter use of administrative staff.
2. How organisations are demonstrating that they have enough competent staff to deliver their services, and how nurse leaders at every level of the organisation are involved in this planning?
3. Implementing person centred approaches to delivering care, such as rounding with intention to care (where every individual receiving care knows they will have at least hourly contact with staff) and performing hand-overs alongside and involving those receiving care.
Culture and values
1. How values and behaviours are assessed alongside knowledge and skills in recruitment processes for new and existing staff to ensure that people receive compassionate, dignified care every time.
2. The systems and processes used to embed, support and role model the right values in staff so that people receive compassionate, dignified care every time? This includes all staff in caring roles for example, nurses and health and care support workers.
1. Measuring a person’s experience across the pathway of care. We are keen to hear from individuals, organisations and others in the system who contribute to joined up care across pathways for example commissioners or networks.
2. Examples of shared-decision making between people being cared for and their nurses and care staff in decisions about their own care.
3. Acting on feedback collated from staff and people receiving care on their experience and the results of this action.
1. Examples where there is good interaction between health and care settings (e.g. between care homes and the primary care team, or experience around discharge).
2. Innovative examples that support clinical leaders to act as role models for students who are in practice. We would also welcome examples of how ‘time to educate’ is protected or nurtured.
3. Supporting individual staff and teams to create positive working environments and improving staff well-being.
4. Details of any other initiatives that have led to better care being delivered.
5. We could also like to hear from any organisation that can demonstrate good practice in all the areas we have highlighted.