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Key outcomes, future prospects Tim Bryson Project Manager

London Mental Health Nurse Pre-registration Education Project ‘Caring, compassionate and competent’. Key outcomes, future prospects Tim Bryson Project Manager. Project aim.

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Key outcomes, future prospects Tim Bryson Project Manager

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  1. London Mental Health NursePre-registration Education Project ‘Caring, compassionate and competent’ Key outcomes, future prospects Tim Bryson Project Manager

  2. Project aim • To improve the quality and competence of London mental health nurses of the future through an agreed consistent approach to recruitment and selection

  3. Why did we undertake the project ? • Willis Report and Compassion in Practice: recruit for values, attitudes and behaviours as well as competence • London NHS Trusts experience • Too many applicants failing basic tests and not employable • Widespread ‘legacy’ problem • Acute nursing education retender • MH trusts agreed partnership approach

  4. Recommendations of Mid Staffs Public Inquiry Report 2013 • ‘Foster a common culture shared by all in the service of putting the patient first;’ • ‘Enhance the recruitment, education, training and support of all the key contributors to the provision of healthcare, but in particular those in nursing and leadership positions, to integrate the essential shared values of the common culture into everything they do;’ • Concerns about nursing values and competence • Recommended nursing aptitude test for compassion and caring (188) • And recruitment for values and commitment (191)

  5. Most of us were students once…. • Students are vital and the life blood of services • About recruitment and selection, but also about support, valuing, coaching and mentoring • ‘Nursing the Nation’ by Molly Case

  6. Project Objectives • Work stream 1: Agree common standards and process for pre-registration mental health nurse undergraduate selection • Work stream 2: Agree common standards and process for post-registration recruitment and selection of newly qualified mental health nurses • Work stream 3: To agree development needs for practice education in mental health NHS trusts and make recommendations for future developments. • Make recommendations for future projects

  7. What progress have we achieved ? Foothills Mountains

  8. Partnership working • Positive partner engagement and involvement • All work streams have been collaborative • Signs of improvement in quality of recruits, but: • Continuing concerns from Trusts about calibre of NQNs • Continuing concerns from HEIs on calibre of pre-reg applicants • Shared concern about quality of learner experience in clinical placements

  9. Quality standards for recruiting pre-registration students • Developed together with partners • Drew on policy, evidence base and current good practice • Challenging but achievable • Recommend use jointly as a framework for review and improvement

  10. Values assessment • No ‘silver bullet’ ! • Mendas: values based screening tool – validation work continues • Cambridge Assessment: SPSQ commercially available from autumn 2013 • Structured interview process – Multiple Mini Interview method • Service user involvement

  11. Literacy and numeracy testing • Identified SNAP as a useful tool • Propose SNAP used pan-London and minimum standard approach to numeracy and literacy • SNAP being implemented at City, KCL, LSBU and West London NHS • Exploratory discussions about potential for online literacy tool

  12. Clinical Numeracy Level 2 A patient is complaining of chest pain and is commenced on a Glyceryl trinitrate (GTN) infusion starting at 10microgram/minute. If you use a ready constituted vial containing 50mg GTN in 50mL, what is the initial infusion rate in mL/hour?

  13. Assessment centre approach for NQNs • Developing a common assessment centre methodology for all Trusts • Building on Trust experience and processes • Common role description of core attributes • Draft design for the assessment centre specification • Draft of exercises and activities

  14. Key benefits of assessment centre approach for NQNs • Fairness and rigor • Increased quality assurance • Centralised and services involvement • Assesses values and behaviours • Potential for support across trusts, e.g. shared assessor training

  15. Practice education framework • Developed practice education framework and outcomes • Explored NELFT practice teacher roles and panel model • Working to establish MH practice education network • Recommend Trusts and HEIs review current arrangements

  16. Work to complete by end September • Conference write up • Report distribution • Numeracy: continuing implementation of SNAP and proposal to HEE on literacy software tool • Complete and publish work on assessment centre approach for NQNs • Establish mental health practice education network • Project close

  17. Future issues identified • LETB implementation plans ? • UK clinical nursing aptitude test ? • Creating a more positive image of mental health nursing • Work to improve calibre of applicants for pre-registration nursing • Common approach to practice assessment ? • Review of curriculum – integrated care ?

  18. Thank you for listening and being involved !

  19. Contacts • Tim Bryson, Project Manager • timbryson@btinternet.com • Lis Jones, Project Sponsor • ljones@tavi-port.nhs.uk • Gen Algie, Project Support • Gen.algie@edu.london.nhs.uk • Charlotte Copley, Project Administration • Charlotte.copley@O2.co.uk

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