Pan-London Trauma Nursing Group

Pan-London Trauma Nursing Group Meeting minutes

Thursday 5th May 2016 - 16.00-17.30 4th Floor Southside, 105 Victoria Street, London SW1E 6QT

Present

Robert Pinate (RP) (co-chair) Consultant Nurse, ED, King’s College Hospital (SE) Lorna Donegan (LD) ODN Lead, NHS England (London) Matt Targett (MT) Matron, ED, Barnet and Chase Farm (NE) Anita West (AW) Trauma Nurse Coordinator, Bart’s Health (NE) Trish Burton (TB) PDN/Senior Sister ED, Bart’s Health (NE) Michele Elliot (ME) Senior Nurse for Plastics. Orthopaedics, ENT and Major Trauma, St Mary’s Hospital, Imperial College Healthcare (NW) Jo Lockwood (JL) Matron, Major Trauma Ward, St Mary’s Hospital, Imperial College Healthcare (NW) Hazel Watters (HW), Orthopaedic Trauma Nurse Practitioner, Ashford and St Peters NHS Trust Aiden Slowie (AS), Consultant Nurse, Emergency Care, The Hillingdon Hospital

1. Apologies

Dr Elaine Cole (EC) Director of Research and Innovation; London Trauma System, Queen Mary’s University of London (Pan-London) Lorrie Lawton (LL) Consultant Nurse, Paediatric Emergency Medicine, King’s College Hospital (SE) Helen Lawrence (HL) Clinical Nurse Lead, ED, Ashford and St Peter’s (SW) Donna Barleycorn (DB) Clinical Educator, Chelsea & Westminster (NW) Sarah Leyland (SL), Practice Educator, General ICU, St George’s Francesca Hole (FH) Senior Trauma Coordinator, Royal Surrey Hospital (SW) Fernando Candal Carballido (FCC), Lead Trauma Nurse, East Kent Hospital’s James Bird (JB), Lead Nurse for Emergency Services, St Mary’s Hospital, Imperial College Healthcare Jane Tippett (JT) ED Nurse Consultant, King’s College Hospital

1 Minutes Action – by whom Due Date 2. Minutes from the last meeting: February 2016 - Agreed as accurate.

3. Matters arising not on the agenda: None

Trauma coordinators role descriptor documents: 4. RP to edit coordinator role document to align By Friday Draft document submitted to the ODN Trauma steering group on the with the 2016 major trauma services quality 13th May 3rd March 2016. Approved by the steering group to support peer review indicators. and the ‘Pan London Major Trauma System Local Criteria for Trauma Unit Performance Reviews 2016’ standards. Since publication of the new Major Trauma Services Quality Indicators in April 2016 (https://www.tquins.nhs.uk/?menu=resources), RP to edit document for publication.

5. National Major Trauma Nursing Group (NMTNG) – update: All – to ensure network colleagues are aware of The new Major Trauma Services Quality Indicators have now been the resources available and support peer published and include new ‘emergency trauma nurse/AHP’ quality review. indicators (QI) for MTC, TU and Paediatric MTC sites.

RP briefly highlighted the key supporting documents: a. Levels 1 -3 document b. Level 2 educational standard descriptor c. Peer review document to support the review of bespoke trauma courses. d. The emergency nurse/AHP competencies: o Adult Level 1 o Adult Level 2 o Paediatric Level 1

2 o Paediatric Level 2

RP advised attendees that all the associated supporting documents are now live on the TQuINS web site -https://www.tquins.nhs.uk/? menu=resources

It is important to note that for the TUs the new QI includes ‘or working towards’. This is a key to ensure TUs are not deemed to have failed the standard at peer review this year given the very short timeframe between publication and review in some networks. Nevertheless, TUs are expected to provide evidence of how they are going to work towards achieving the QI.

6. Critical Care trauma competencies: 1. AM to collate responses and edits and By Friday AM presented the latest draft trauma critical care nursing re-draft ahead of the NMTNG meeting 10th June competencies. JL and SL had forwarded comments and revisions to on the 17th June 2016. 2016 AM via e-mail ahead of this meeting. In addition AM had received trauma critical care competencies devised by Barts and the London 2. AM to draft assessor guidance notes which built on the current national CC3N competencies. ahead of the NMTNG meeting on the th - The group discussed the format and layout in light of the new 17 June 2016. national emergency trauma nurse/AHP competencies. Group agreed that these new trauma competencies should be in keeping with the format and structure of the national CC3N competencies. - AM also keen to include guidance for assessors in the final document. - RP invited AM to the next NMTNG meeting in Birmingham on the 17th June 2016 to showcase this work. The NMTNG will be focussing on the development of a national set of trauma competencies for critical care to supplement the national CC3N competencies and RP is keen the PLTNG work forms part of the national development.

3 7. Trauma ward nursing competencies: 1. RP – send ME and JL NMTNG 1. By ME and JL leading on the development of the ward competencies. competencies in word format. Friday 13th Recognition that there is overlap between the critical care and trauma May ward competencies. 2. ME and JL – new draft competencies Group discussion about format, structure, etc.: ahead of the NMTNG meeting on the 2. By 17th June 2016. Friday 10th - Agreed that there should be at least 2 levels of competence to June 2016 reflect the Band 5/Junior Band 6 level and Senior Band 6/Band 7 3. RP to send out information on TCAR level. course and copy in Lisa Thomas 3. By th - Agreed that there would be a suite of competencies from which Friday 13 trauma wards at MTCs and Tus could pick from dependent on their May particular patient case mix. - ME and JL to look at the NMTNG competencies format and structure which could be used for the ward competencies. - RP invited ME and JL to attend the next NMTNG meeting in Birmingham on the 17th June 2016. The NMTNG will be focussing on trauma ward competency development and RP keen to ensure this work is reflected nationally.

Trauma ward education: Group discussed the need for specific trauma care education and development. RP highlighted that Lisa Thomas (Major Trauma Nurse Practitioner – Bristol) was keen to pilot the ‘Trauma Care After Resuscitation’ (TCAR) course - http://www.tcarprograms.org/ , which

4 she had attended. Lisa is looking for a London link to set up a course.

6. Major Trauma ODN steering group – Update:  RP showed the group the PLTNG section on the new London Trauma System (LTS) website - http://www.c4ts.qmul.ac.uk/nursing-and- ahp/pan-london-trauma-nursing-group RP keen PLTNG members disseminate this information out to ‘grass roots’ level.  Steering group currently focussed on: - Development of ‘local measures’ to supplement the national measures. This includes our work on the trauma coordinators descriptors. - LD discussed the presentation at the ODN meeting on the 5th May of the Major Trauma Signposting Partnership programme at St George’s Hospital. In short this is a partnership between St George’s and Cardinal Management who have worked with St George’s to select law firms to provide legal advice to trauma patients. In addition the Citizens Advice Bureau provides an in- patient service to support trauma patients. RP/LD to provide further information to the group and contact details of Leila Razavi, SW Trauma ODN Manager who has led on the project.

5 7. Network feedback  NW and NE: ME, JL and MT - 1st joint network nursing meeting on the 23rd February 2016. 4 hospitals represented. Plan to hold a 2nd meeting in due course. Key aim to disseminate PLTNG developments to MTCs and Tus network wide. MT also reported on-going discussions re: East of England ambulance service major trauma triage tool which, differs from the London Ambulance Service in particular in relation to mechanism of injury. This results in patient being conveyed to Barnet Hospital without a pre-alert who would otherwise trigger the London Ambulance Service triage tool. MT to liaise with Nicola Batrick (governance lead) in the NW as this may impact both networks.

 SW: HW - March 2016 meeting had poor attendance but further meetings planned.

 SE: RP – SELKaM hold clinical reference group (CRG) meetings and the nursing CRG and emergency department CRG have combined as many nursing members were already attending the emergency department meeting. 1st combined meeting held on the 17th March 2016.

8. AOB: - AS – discussed the current development of the network (NW) wide major incident plan and whether there would be a Pan-London template. LD updated the group on the current work to develop a mass casualty incident Pan-Networks policy. PLTNG members can

6 review the draft document here - http://www.swlandstn.com/#! mass-casualty-work/c1mpf

In addition the EPRR lead at NHS England London is Liz Clark should members wish to make contact.

9. Dates for your diary - 2016: a. 2nd Global Conference on Emergency Nursing and Trauma Care: 22 - 24 September 2016: Melia Sitges, Sitges, Spain

10. Dates of 2016 meetings: August 2016: Thursday 11th – 16:010 – 17:30 Room 401

November 2016: Thursday 17th 16.00-1730 – Venue TBC