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High Quality Care for All: implications for nurses and nursing care

High Quality Care for All: implications for nurses and nursing care. David Foster Deputy Chief Nursing Officer Department of Health. Nurses are pivotal …. “ we know that nursing and midwifery are fundamental to high quality healthcare.

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High Quality Care for All: implications for nurses and nursing care

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  1. High Quality Care for All: implications for nurses and nursing care David Foster Deputy Chief Nursing Officer Department of Health

  2. Nurses are pivotal …. “ we know that nursing and midwifery are fundamental to high quality healthcare. There is hardly an intervention, treatment or healthcare programme in which we do not play a significant part. This means we are in a powerful position to improve the quality of care across the NHS and play a major role in improving health outcomes “ Dame Christine Beasley CNO (2008)

  3. Ensuring Excellent Services for People High Quality Empowering communities to achieve best health outcomes Enabling staff to lead transformation

  4. National indicators Few in number possibly: Skin damage Nutrition Indwelling catheters Compassion Pain Local indicators Many in number possibly: Patient Safety Tool Related to patient pathways Patient outcome data Patient complaints Patient surveys Brought together as clinical dashboards Nursing quality metrics

  5. Quality indicators framework Measurement and improvement Key purposes Example product • Improvement against national priorities • Accountability to taxpayers • International benchmarking National • NQB Quality Report • Improvement in quality within the region and progress against the regional vision • Enable benchmarking • Regional quality measures • Services from Quality Observatory Co-production at all levels of the system Regional • Service improvement • Board accountability • Provider benchmarking • Provider quality account Subsidiarity Local • Clinical Team quality measure and dashboards • Service improvement • Team benchmarking for improvement Team Local clinical ownership of indicators Sources of evidence-based indicators include Royal Colleges, specialist societies, NHS Information Centre, universities, commercial sector

  6. Tools to support nursing quality • Assured Menu of Indicators National • Regional quality measures Regional Co-production at all levels of the system • Productive Ward series Local Subsidiarity • Essence of Care Team Local clinical ownership of indicators • Confidence in Caring Individual

  7. Quality on the leadership agenda • ‘Clinical issues and patient care formed only 14% of board agenda items’ • Higher clinical content on the board agenda shows a greater commitment to quality care • Where topics are positioned on the board’s agenda is significant • Whether its for information or discussion

  8. National Quality • Next Stage Review Nursing and Midwifery Advisory Board • National Quality Board • Commission on the Future of Nursing and Midwifery

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