Care to Share
Issue 11 Spring 2021 Clinical System Framework Launch
Our shared vision for continuous improvement, providing safe, effective and high quality care for all our service users.
Reflections on my Nursing Reaping the Rewards British Journal of AHP Career Associates of Research Nursing Award Winner Page 4 Page 6 Page 17 Page 20 Contents P5 Issue 11 / Spring 2021
Page Welcome to RWT – Katrina Creedon and Ruth Spedding 3 Ravi Goyal and Carol Morris, Volunteers Reflections on my AHP Career 4 Community Clinical Volunteer Programme 5 P11 Nursing Associates 6 Urology Cancer Care Navigator 7 Serious Case Reviews 8-9 Donation by Orthotics Team 9
Emotional Wellbeing Support 10 Lisa Lawton, Matron for Pre-Registrant Nurse Education Welcome to RWT – Lisa Lawton 11 Meridian Celebration of Innovation Awards 11 P12-15 The Clinical System Framework 12-15 Competency Project 16 Reaping the Rewards of Research 17 The RWT Dignity Awards 2020 17 News in Brief 18-19 British Journal of Nursing Award Winner 20
A message from Professor Ann-Marie Cannaby
Dear colleagues, will be mainly focussed on the new CSF the COVID-19 crisis. We can use the CSF along with the usual news, views and best to refocus, reframe what we are doing This Spring Edition of ‘Care to Share’ practice announcements to share with and look ahead. I continue to thank sees the beginning of longer and lighter you. you all and ask you to be proud of your days for us all and the signs of new life achievements. in the trees, hedgerows and the much The CSF is a two year detailed strategy of welcomed arrival of the seasonal plants how we as nurses, midwives and health Stay safe, such as daffodils and crocuses. It also visitors want to develop our services. gives me a great sense of satisfaction and I’m also delighted to welcome our allied Ann-Marie pride that we have been able, despite health professional colleagues to join all of the challenges we have faced us as we drive the strategy forward. It is together, to produce our new Clinical a good time for the Trust to launch this System Framework (CSF). This edition updated strategy as we emerge from
2 Care to Share Spring 2021 Welcome to Katrina and Ruth Katrina Creedon, Senior Matron (Quality Team) and Ruth Spedding, Senior Sister (Quality Team)
Hello Katrina! Tell us about Hello Ruth! Tell us about your background… your background… In July of this year, I will have I became a Registered Nurse in been in nursing for 31 years. 1991 and started in my first post at East Birmingham Hospital. I trained at the Manor Hospital I started out in ward-based in Walsall and spent the first five surgical specialities, eventually years after qualifying as a Staff becoming a Ward Sister and Nurse within Cardiology. gaining experience in General I moved to Solihull Hospital in Katrina Creedon, Senior and Emergency Surgery, Surgical Ruth Spedding, Senior 1998 to take up my first Sister’s Matron (Quality Team) (High Dependency Unit), Vascular, Sister (Quality Team) post within Cardiology and Urology and Gynaecology. later became a Clinical Nurse Following this, I worked for Specialist. two years in critical care before leaving to specialise in acute and chronic pain management. In 2009 I joined the Corporate Nursing Team at Heartlands, Good Hope and Solihull Hospitals with a focus on quality and safety. In 2009 I started my first corporate facing role; here my main work The team then merged with University Hospitals Birmingham NHS streams were centred on driving improvements in patient quality Foundation Trust. and safety in both nursing policy and across Trust procedures. I then moved to the Queen Elizabeth Hospital, still working in In 2018 I moved into the Nursing Workforce Team; within this quality within Corporate Nursing, until joining RWT in December role I was involved in the mass recruitment to the Trainee Nursing 2020. Associate programme. I was also involved in patient acuity audits, workforce reviews and safe staffing systems. How do you feel to be joining RWT? I am thrilled and very proud to be joining RWT and the Quality How do you feel to be joining RWT? Team. I have been made to feel really welcome by all, for which I would like to say a huge thank you! The staff at RWT have been so welcoming to me, they are very knowledgeable and are positive role models for nursing. There is a What are your plans for your role? can-do approach which is fantastic and I look forward to meeting I am starting my journey at the Trust with my focus largely on and working with you all. I am also very impressed with the patient falls. How best can we try to reduce falls-related incidents, opportunities for staff development and learning. how can we safely manage our patients should they fall, and how What are your plans for your role? do we learn from these incidents, for example. The Quality Team and I will be focusing on the Clinical System As part of this work, some of the initiatives will be around revising Framework (CSF) with our nursing colleagues in early March, the falls risk assessment documentation, falls policy and other followed by the introduction of our new paper nursing supporting documentation. documentation on admission and a patient risk assessment booklet with care plans incorporated. I will be involved in the scrutiny of all falls that occur to identify learning outcomes. I would be very interested to hear about any We will be reviewing our nursing documentation, in particular local initiatives that are taking place within your areas to help hydration and fluid balance monitoring as a quality improvement reduce patient falls. project. Alongside this, we will be focussed on improvement projects around late observations, sepsis and missed medications. I am really looking forward to meeting and working with you all!
Hiya Hello
Spring 2021 Care to Share 3 Reflections on my Allied Health Professional (AHP) Career Dr Alison Aries, Physiotherapist / Lecturer / Clinical Academic
Where did it all start? I was the Lead Cardiorespiratory I qualified many years ago from Physiotherapist for three years before Wolverhampton School of Physiotherapy, moving to Wolverhampton in 1998 into before the days of physiotherapy degrees, a senior post in medicine and neurology, commencing my career with a diploma in progressing to job share the Clinical physiotherapy. Coordinator post for Neurology and Rehabilitation. I was fortunate walking I worked in Redditch and Bromsgrove NHS straight into an Advanced Bobath course Trust and then Dudley Hospitals NHS Trust, which was running and this sealed my completing my basic physiotherapy grade. passion for neurological rehabilitation. I I stayed in Dudley for many years and never looked back. progressed onto a ‘Senior I’ post (Band 7 equivalent). How did I make a move into the academic world? In those days I was really interested in the I loved the teaching aspect of my Dr Alison Aries, Physiotherapist cardiovascular / respiratory side of the job physiotherapy role and so I decided to and I specialised in surgical and intensive try to pursue an academic physiotherapy prestigious awards from the NIHR: a care. It was an interesting job and I career. Clinical Research Network Scholarship developed my respiratory skills. As part and a Clinical Academic Post-Doctoral of the role, I worked with many patients Despite having young children at home, Fellowship. following amputation, even helping to I was determined to do my masters to set up the satellite prosthetic clinic at facilitate a move into lecturing. Writing Both awards will allow me to continue Wordsley Hospital (Dudley). academically did not come naturally to my research exploring the importance me, however, I somehow completed my of sensory stimulation to the lower limb, How did I end up pursuing a MSc in Neuromusculoskeletal Healthcare especially the foot, to facilitate motor career related to neurological at Keele University in 2003. activity and improved function after a rehabilitation? stroke. I ended up being made redundant from After working in a Sessional Lecturer post that job and I was relocated to medical from January 2003, I then secured a part As a clinician myself, I know it is and elderly care. Soon after the change I time Lecturer post in July 2003 at Keele important we drive research from the was lucky enough to be offered a place University. clinical environment and not just let on a three-week Bobath course – this people do the research in universities. We Challenges which led to a change of is a problem solving approach to the know what aspects need to be researched focus in my career assessment and treatment of individuals and we need to take ownership and drive with disturbances of function, movement July 1st 2008 was the day my life changed it forward. and postural control due to an issue with – I was diagnosed with breast cancer I am thrilled to be back working as a the central nervous system. and went on to have major surgery, chemotherapy and radiotherapy. Eight Clinical Academic with a remit of driving I found this somewhat scary because I did months off work gave plenty of time for neurological rehabilitation from within not have the same level of neurological reflection. RWT, while I look forward to supporting experience as most of the other others with a move into a research career. candidates on the course, but somehow, I reflected upon the fact I had completely I truly believe if I can do it, anyone can do I managed to complete the compulsory changed the lives of some of the stroke it! project and pass the course back in 1995- survivors I had rehabilitated. This then If I can be of any help to anyone, or 1996. inspired my research. you have any ideas about how we can The surgical and intensive care post I completed a National Institute of progress with developing neurological at Russell’s Hall Hospital came up a Health Research (NIHR) Clincal Academic research within the Trust, please, do not year or so later and I could not resist Doctoral Fellowship between 2015 hesitate to contact me at going back in this direction again – and 2018, while in 2020 I completed [email protected]. neurorehabilitation would have to wait! my doctoral thesis and achieved two
4 Care to Share Spring 2021 Community Clinical Don’t forget to share your news! Email us at: Volunteer Programme [email protected]
The last 12 months has seen our volunteer Virtual: able to shine. It’s been hard work but workforce change dramatically as a result Patient discharge follow ups I have enjoyed every minute of my of the COVID-19 pandemic. journey!” Virtual COVID-19 ward support February 2020 saw nearly all of our The Community Clinical Volunteer original long serving volunteers either Patient activity group (neuro- programme has been extremely successful stood down – due to being high risk – or rehabilitation) due to the co-production, interest choosing to leave. and commitment of this valuable and appreciated group of individuals. In order to rebuild our volunteer workforce and best support the changing “Volunteers based Rewards and recognition needs of the Trust, we recruited for our ‘Helpforce’ is an organisation that first of two cohorts of volunteers for a here have been partners with NHS organisations to newly developed role of Clinical Volunteer; invaluable during increase volunteering opportunities and designed to provide direct support to this extraordinary accelerate their impact and in 2020 they frontline staff on our hospital wards. recognised RWT’s clinical volunteers for time.“ going the extra mile and featured them on After advertising locally and on social their ‘Wall of Fame’. media, we recruited an amazing 150 volunteers in March 2020. What roles and where? Both cohorts of volunteers have been In October 2020 the organisation deployed into various locations: went out to recruit its second cohort of volunteers and we were able to recruit an West Park Hospital: Wards 1, 2, and 3 additional 50 volunteers. These individuals Matthew Whitehouse, New Cross Hospital: Acute Medical have provided incredible support at a time Volunteer Unit, Ward A6, A8, C17, C18, C19, C21, of high pressure relating to COVID-19. Several volunteers have also been C22, C24, C25, COVID-19 Swabbing nominated at the Trust’s own ‘Dignity in Since the start of March / April 2020, Station Care Awards’ in December 2020 which volunteers have completed 9019.50 hours saw Matthew Whitehouse (Ward 2 Cannock Chase Hospital: Fair Oak of shift coverage on hospital wards, at Volunteer, West Park Hospital) go on to be Ward the COVID-19 Swabbing Hub and across a winner! other ad-hoc duties. Alfred Squire Health Centre: Through volunteering in this role, many Vaccination Hub We had amazing feedback from clinical of the individuals expressed an interest in staff such as: joining the Trust as substantive members Karen Bowley, Matron for West Park of staff. With support from the Patient Hospital, said “Volunteers based here Experience Team and the Trust’s Staffing have been invaluable during this Bank, we are delighted that three extraordinary time. individuals have gone on to secure Bank healthcare assistant roles! Great news. “Everyone has been extremely selfless in giving their time to help us and I want to If you would like Clinical Volunteer say a big thank you for their dedication support on your ward please email us and commitment to supporting colleagues on [email protected] and and patients.” we would be delighted to discuss this with you. Please be aware that we will A volunteer said: “Volunteering has need some time to discuss and agree any changed me as a person for the better programmes with you before we are able Ravi Goyal and Carol Morris, Volunteers and I am so thankful for the opportunities to deploy volunteers. I have been given and how I have been
Spring 2021 Care to Share 5 Nursing Associates Keira Matthews and Claire Reynolds, Nursing Associates
During our nursing associate training, Nursing Associates and the support of the Shared Governance we often encountered staff and patients Lead, the Nurse Education Team, the CQI that were unaware of our roles and our Shared Governance Team, and of senior matrons throughout responsibilities. When the Shared Governance Council the Trust. This has enabled us to build was formed for RWT nursing associates, communication skills and professional So who are we? we were asked to join so that we could relationships with staff from all areas. make a difference and impact on service What do we do? improvement. We plan to implement our improvement Nursing associates are the newest ideas in due course. We have received member of the nursing family and were Once we had joined and completed excellent feedback so far. We even identified as a key part of the new nursing our training, we decided to address the became runners up in the innovation system. Lord Willis first recognised awareness of our role and that of the competition hosted by the Fab Academy this in 2012 when he recommended a apprenticeship role. We wanted to create in 2020. clear training pathway for experienced a guide for patients and staff to help healthcare assistants to develop them identify the different members of the Those who want to find out more about themselves, with a distinct qualification. nursing team. Shared Governance, and how it can aid service improvement in your area, should The National Midwifery Council (NMC) Together with the Clinical Illustration email Alison Wells, Deputy Head of describes a nursing associate as: Team we created a poster displaying the Nursing for Education on different uniforms of the nursing team [email protected] “A member of the nursing team in that are most frequently encountered England that helps bridge the gap on inpatient wards and outpatient Useful links: between health and care assistants and departments. registered nurses. • The Fab Academy: Shared Governance, which is a bottom-up fabnhsstuff.net/ Nursing associates work with people of approach to decision-making, has taught • The Nursing and Midwifery Council all ages, in a variety of settings in health us a lot about project management, (NMC) 2018. www.nmc.org.uk/ and social care. The role contributes to the research, and innovation. It has also about-us/our-role/who-we- core work of nursing, freeing up registered allowed us to communicate with people regulate/nursing-associates/ nurses to focus on more complex clinical we would have never encountered in our care. normal roles within the Trust. • Shape of Caring review (Raising the Bar): www.hee.nhs.uk/ It’s a stand-alone role that also provides We have been fortunate enough to have a progression route into graduate level nursing.” As nursing associates, we have completed apprenticeships and have joined the NMC register. In our roles we: • Administer medications via different routes (not intravenously) • Independently care for patients across the whole lifespan • Recognise the deteriorating patient and know when to escalate our concerns • Are accountable for our own practice • Provide and monitor care • Provide patient centred care • Are part of the multi-disciplinary team. Keira Matthews and Claire Reynolds, Nursing Associates. Please note this image is made up of two separate images, compliant with social distancing guidelines 6 Care to Share Spring 2021 Urology Cancer Care Navigator
Author: Kelly Kusinski, Urology Advanced Nurse Practitioner
A new role within the Urology Department is the Cancer Care Navigator (CCN), sponsored by Macmillian Cancer Support. We have seen many benefits for our urology patients since the introduction of this role, however many healthcare workers have never heard of it nor understand what it involves. The CCN forms an integral part of Urology’s multidisciplinary team approach in caring for the physical, social and psychological needs of patients diagnosed with cancer and their carers. This can happen throughout the care treatment pathway, during care and beyond treatment. The CCN communicates directly with patients, relatives and carers whilst demonstrating empathy, understanding and respect. Information discussed and received will often require tact, to ensure safety and understanding around treatment side-effects as well as an understanding of complex information around treatment options and sometimes, end of life care. The CCN has a broad understanding of cancer treatments offered within RWT and is well placed to offer additional support to patients. The CCN contacts patients following a cancer diagnosis to perform a ‘Holistic Needs Assessment’ using designated screening tools. Any concerns identified are then passed onto the Clinical Nurse Specialist (CNS) Urology Team. Supporting the CNSs in developing and facilitating health and wellbeing programmes, the CNN will also be part of the ‘Living Well With and Beyond Cancer’ support services facilitated by Macmillan. This will involve contributing and delivering education Jenny Chatfield, Urology CCN to patients and carers, including information around disease prevention and self-management of their long term condition. The CCN role is now pivotal to our service. Jenny Chatfield is the new Urology CCN and has been in post since April 2020. Jenny Providing telephone advice and triage where appropriate, made contact with 335 patients between April 2020 and January the CCN works within defined protocols and guidelines. All 2021. interactions, both verbally and written, are documented in line with Trust policy and procedure. The CCN position is being rolled out across the Trust in other departments.
Jenny said: “Starting a new post during the COVID-19 pandemic was not what I visualised, however it gave me time to look at the service in a new way and offer support to patients who were unable to attend the hospital. “The support I have gained from the Urology CNS Team is what has made this role really successful. Developing protocols together, learning about urology cancer treatments and being able to assist patients in their time of need is what makes this job so rewarding.”
Spring 2021 Care to Share 7 Serious Case Reviews
Wolverhampton Safeguarding Together there are children or vulnerable regular contact with her father. Her have recently published learning lessons adults in the household, including mother had significant health issues briefings for three recent cases whereby any who may visit. following an accident that occurred Serious Case Reviews (now referred to • Ascertain what impact the current several years previously and as a result as Child Safeguarding Practice Reviews) circumstances may have on any such of these issues it is believed that Child were undertaken. vulnerable people. H was likely to have been a Young Carer. In early 2016 Child H was referred to • If circumstances are disclosed The purpose, at both local and national Child and Adolescent Mental Health that may impact on a child or level, is to identify improvements to be Services (CAMHS) for support due to vulnerable adult, always consider made to safeguard and promote the concerns about self-harm, depression these in the context of safeguarding welfare of children. Therefore this article and suicidal ideation. Appointments were when making a referral to the aims to disseminate lessons learnt from offered but Child H was not brought for Multi-Agency Safeguarding Hub if these cases in order for practitioners to these and she was discharged from the indicated. understand, reflect and develop practice service. From January 2017, Child H was further. The cases being discussed within Theme Two – Impact of mental prescribed anti-depressant medication this article are in relation to; Child K, health of relatives from her GP. An assessment within Child H and Child N. The full overview • Ascertain what behavioural changes CAMHS occurred in February 2017 where reports can be accessed at: www. have taken place in the context of a Child H was discharged and advised wolverhamptonsafeguarding.org. person’s emotional wellbeing, and to self-refer to the voluntary sector for uk/safeguarding-children-and- clearly document these and any emotional wellbeing support. This self- young-people/i-work-with-children- actions taken in patient records. referral did not occur. In March 2018 young-people-families/serious-case- • Consider what the impact would be Child H commenced school counselling reviews if things don’t improve or get worse, at her request. Child H expressed a wish Please note the Safeguarding Children and factor this into decision making. for this to continue throughout exam Specialist training (two hours) available • Obtain guidance from appropriate leave. The day before her death, Child on KITE provides an overview of the agencies as to options available H was seen by her GP and expressed recent Serious Case Reviews and the if things don’t improve or get an improvement in her mood and said lessons learnt from the cases discussed. worse so that this can be clearly that she was accessing counselling in communicated to family members. school. The following day Child H had Please find below a brief summary of the a cardiac arrest at home and tragically cases and the lessons learnt that need to Theme Three – Professional died as short time later. She had taken an be embedded into our practice. curiosity overdose. • Consider signs of poor mental health in the wider context of emotional What does it mean for professional mental health and wellbeing and practice? Child K seek to understand underlying Child K was 11 years old when she Theme One – Early Help signs or symptoms that may point • In all cases where single agency died. Her great uncle admitted killing to issues with emotional wellbeing, her in a violent attack. He has since early help support is occurring, even if they don’t indicate obvious stop and think, within my agency been convicted of manslaughter on the mental health problems. grounds of diminished responsibility. and role, am I able to fully address • Seek to increase your knowledge Family members had concerns about and meet the needs of this child / on the signs and symptoms of the great uncle’s mental health and young person? Are other agencies poor mental wellbeing and support they sought help on four occasions. On or services that could be involved available. the evening of child K’s death the great in providing support. If so, consider uncle had not slept for 72 hours and was • Seek guidance from your supervisor multiagency early help support. clearly unwell. who can signpost you to relevant Theme Two – Information sharing agencies. • Silo working can be dangerous. What does it mean for professional practice? • When commencing work with a Child H child / young person and their carer, Theme One – Situational Child H lived at home with her mother discuss information sharing and gain awareness and younger sibling. Her parents were consent to share information when • Explicitly ask the question whether separated however she maintained needed and clearly document this in
8 Care to Share Spring 2021 records. Child N • As neglect is a complex form of • Consider other services and agencies Child N was a 14-year-old girl who was abuse, the neglect strategy and that may be involved and whether originally from Lithuania and had lived Wecan tool should be used. sharing of information will provide with her mother and stepfather in the Theme Two – Response to missing more robust support and join up UK for seven years. Her life was tragically episodes information. cut short when she was killed in a local • Ensure reporting of missing children • Record information, share decisions park on the night of 11th April 2018. are acted upon in a timely manner. A 16-year-old was subsequently found and where appropriate, revisit • Consider the impact of guilty of her rape and murder and jailed consent when sharing information. criminalisation at the earliest stage. for life on 22nd February, 2019. Theme Three – Referral process • Whilst using policies that focus on • Ensure you are aware of how to What does it mean for professional the duration of missing episodes, you carry out a referral to other agencies practice? should be aware this may not take / services. into account emerging patterns of Theme One – Assessment and frequent shorter episodes. • If you are unable to refer to a intervention service, are there other agencies that • When undertaking an assessment of Theme Three – Transfers could be involved? a child; all parents and carers should • Ensure you ask the right questions • If a service is self-referral only, be involved to enable a rounded about all previous schools when ensure you follow up with the child, view of risk and need. responding to a new school young person and carer that this has • All available and relevant admission request. taken place. assessment tools (ie: Child Sexual • Fully consider school attendance, Theme Four – Awareness and Exploitation (CSE) screening tool) regardless of attendance over training about young carers should be used according to the 90% being considered as good by • Access training to be aware of the presenting concerns and should professionals, as the impact on both signs and symptoms to look out for inform final decisions. the child’s learning and increased and questions to ask to determine • Ensure children, young people and vulnerability can be missed. whether a child or young person is a their family are actively involved Theme Four – Language young carer. in the development of working • Always ensure interpreters are used • Know how to access support for a agreements. for families for whom English is not child or young person you feel is a • Ensure the appropriate use of their first language as this could young carer. language to describe CSE is lead to miscommunication about embedded amongst yourselves as decision-making taking place. safeguarding partners. Donation by Orthotics Team
Instead of the usual ‘Secret Santa’ tradition of buying each Have you or your colleagues raised money for a good other Christmas gifts, the Orthotics Team decided to put all their cause or achieved something special recently? Share money together and purchase gifts for the children who would be with your colleagues send to rwh-tr.nursingnewsletter@ spending Christmas Day as inpatients at New Cross Hospital. nhs.net for the Summer Edition of Care to Share. Kate Pugh, Orthotics Clerk, came up with the idea and got the whole team involved. Together they raised enough money to buy a sack load of gifts for Ward A21. Kate said: “I thought there might be less gifts donated by the public because of the COVID-19 situation and I didn’t like the thought of the children missing out. I asked the Orthotics Team if they would like to get involved and they jumped at the idea. I also took some donations from my neighbours who were keen to Kate Pugh, Orthotic Clerk and Alison Poulton, Ward Clerk donate gifts too.”
Spring 2021 Care to Share 9 Emotional Wellbeing Support
al Wellbe The Occupational Health Team are available to chat to on 01902 307999 sic in Phy g n Em w o o t D io d n n a i l W W k e r l l o b e (ext. 88057). Support is available through the Health & Wellbeing W i
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Remploy offer free and confidential support and advice, provided you: • Are permanent, fixed term or bank staff • Have a mental health condition (diagnosed or undiagnosed) www. 0300 4568116 / [email protected] ( The Employee Assistance Programme (EAP) are available for free, confidential support and advice 24/7: 0800 111 6387 / www.my-eap.com (username available on the intranet)
Our Palliative Care and Safeguarding Teams are available to support individuals and teams following moments of crisis or challenging circumstances. They are also available for restorative supervision.
1 2 3 4 5 6 • Safeguarding − 01902 695163 (ext. 85163). Calls will go to voicemail but 7 8 9 * 0 # messages will be picked up daily and calls returned as soon as possible. This can be accessed Monday-Friday, 9am-5pm. • Palliative Care − ext. 85212 / ext. 88329 / bleep 1117. This service is open seven days a week.
Peer Listeners are existing members of staff who are known facilitators within the Trust or have coaching, mentoring or supervisory skills and experience. Please note they are not trained counsellors. Email [email protected] or call ext. 86181 to find out more or to arrange a conversation.
Bereavement support is available through the Trust’s Multi Faith Chaplaincy Service on 01902 695098 (ext. 85098). For all faiths and those of no faith. There is other support available for those wanting a face-to-face conversation. Please visit the Wellbeing Webpages to find out more.
10 Care to Share Spring 2021 Welcome to RWT – Lisa Lawton Lisa Lawton, Matron for Pre-Registrant Nurse Education
Tell us about your background. More recently I have been part of the Having qualified as a Registered General educational team that delivered the Nurse at St Bartholomew’s London in the induction and training for the Nightingale early 90s, I worked in a variety of surgical Birmingham as well as the mass settings until I took my first educational vaccination education and delivery in post in 2001 as a Practice Placement Birmingham at Millennium Point. Manager in Coventry. I have continued to work within various posts supporting How do you feel to be joining RWT? Pre Registration Education across the Midlands Region in both acute and I am really excited to be joining the community settings, as well as linking to Trust and meeting everyone in the Independent and Primary Care settings. coming weeks and months, developing the working relationships and working Additional secondments into a together. I have been experiencing a Lisa Lawton, Matron for Pre-Registrant Professional Nurse Advisor Post for virtual induction but am looking forward Nurse Education Community Services and Lead Educator to meeting up face to face as we move for Non-Medical Education have ensured through the stages of opening up on the teaching and learning to the students a strategic overview of quality education roadmap. so they develop into a fit-for-practice working in close partnerships with local, workforce for us to be proud of. regional and national organisations to I will tap into my 20 years of experience develop and support programmes of What are your plans for your role? across acute, primary and independent education spanning nursing, midwifery, This role is new and I am looking to build sectors to support the assessors and adult, child and allied health professional on the great work the team has been supervisors to enhance and develop the (AHP) settings. doing with the increase of placements experiences for the students. within the Trust. I will be developing The variety of roles has enabled me to Anything else you’d like to add? evolve and develop services to deliver and strategies and frameworks to ensure The welcome that I have received from support quality learning environments to that all pre-registration student learners my immediate team and those that I ensure our current and future workforce will experience a good quality learning have met so far has been outstanding has the knowledge and skills to deliver environment and to standardise processes and heart-warming. Thank you and I look excellent care to all patients and service and share good practice. forward to working with you all. users. I will be reviewing the processes to streamline and develop enhanced Meridian Celebration of Innovation Awards Congratulations to Jodie Winfield, Senior work in the category: ‘Meridian Innovation Matron for Adult Community and Primary and Improvement Champion’ Award. Care Services, who has been shortlisted for Jodie was nominated for her contribution a prestigious award. to the Black Country and West Birmingham The Meridian Celebration of Innovation STP’s Digital Innovation Group. Here she Awards programme, hosted by the West worked with innovators and services to set Midlands Academic Health Science up remote monitoring in local care homes Network has been celebrating the and supported with the roll-out of a new individuals and organisations that are training package aimed at reducing patient revolutionising healthcare in the West falls (via a new medical device). Midlands with new ideas, technologies, and The virtual awards ceremony will take place Jodie Winfield, Senior Matron initiatives. on Tuesday, March 30th 2021. for Adult Community and Primary Care Services This year, Jodie has been recognised for her Good luck Jodie!
Spring 2021 Care to Share 11 The Clinical System Framework Culture and Organisational Structure: Nurses, midwives, health visitors and AHPs are an integral part of multidisciplinary teams and leadership structures within the organisation. Teamwork, shared visions and goals are essential to deliver good quality care.
Education Following the format of the Nursing System Framework (NSF) Another core component of care is the need for launched in 2018, we continue to utilise six foundation blocks education. The CSF supports the continual drive within the framework. to improve skill sets, develop our teams and prepare the workforce based on patient needs and These are the core components of what constitutes good quality requirements. care which we can continue to be proud of and work hard to provide and improve based on sound evidence. Things are a little different in our new framework as we are delighted that our Excellence in Care allied health professional (AHP) specialities have now joined us Providing the best care possible is important to all to form a Clinical System Framework (CSF). The new two-year of us and is central to everything we do within our strategy has been developed with matrons, AHP leads and other organisation. Continual improvement requires our nursing, midwifery, health visitor and leaders across the Trust. care to be underpinned by proven evidence, research What will it mean for you? and best practices with measurable outcomes. We must also be transparent, innovative, motivated and Every member of staff within the nursing, midwife, health visitor systematic in our approaches to improve and be and AHP teams will receive a copy of their own CSF booklet better. explaining its fundamentals, aims and goals. Ward areas and departments will also be issued with a milestone poster.
Marian Evans, Occupational Therapist Ermira Marku, Student
12 Care to Share Spring 2021 Thegra Mukoko Gerengba, Student
Research and Innovation Professor David Loughton CBE Continual improvement requires the care we provide Chief Executive to be underpinned by evidence, trustworthy research “During the past 12 months of the and validated best practices. COVID-19 pandemic, we have been reminded of the widespread contribution of the nursing and AHP staff to the care of our Right Workforce patients. Nurses’ and AHPs’ participation at One of the core components of a good quality every level in the organisation is critical and service and excellent care is ensuring the right staff this next two-year strategy will support the continued progress are in the right place, at the right time. This requires and improvement. I have been impressed with the achievements constant oversight, planning and resource for of the last two-year strategy and look forward to seeing the development. outputs of the next one.” Communication The CSF will continue to be a tool to plan and Yvonne Higgins measure our performance, as a team, through Deputy Chief Nurse agreed objectives and milestones. Communication “I’m feeling very positive about the is key to ensure the ongoing success of the CSF and launch of the CSF. It is a collaborative to share its progress. Engagement and ownership is multi-functional framework. I’m confident paramount. that as we work together to achieve the milestones, it will help us to monitor, learn and drive improvement further within our organisation. It will be Dr Rosalind Leslie fundamental in helping us to deliver the best possible care and Group Manager Therapies and achieve the best possible patient outcomes.” Ambulatory Care, Chief Allied Health Professional “The contribution of AHPs to this CSF strategy is a good step forward for RWT. We This is our framework, are pleased to join our nursing, midwifery and health visitor colleagues to create let’s engage with it, talk stronger links in practice which will enhance the care we deliver.” about it and own it!
Spring 2021 Care to Share 13 Clinical System Framework
RWT Nursing, Midwifery, Health Visitor and Allied Health Professional Clinical System Framework (CSF) MILESTONES Feb 2021 - Dec 2022
Description February - March 2021 April - June 2021 July - September 2021 October - December 2021 Apprentice programme for Develop communication plan. Review job description - Establish education support. Measure number of HCA apprenticeships commenced. Evaluate programme. unregistered staff Identify wards / depts to use one post or vacancy for apprenticeship. Complete recruitment. Career map consistent with Job Finalise content of career map. Review / revise / approve unregistered job descriptions. Review/ revise/ approve band 4 and 5 registered nurse AHP job descriptions. Review / revise / approve band 6 and 7 registered AHP / nurse job descriptions. Descriptions Career map available in an interactive format. Improve internal transfer process Develop process and KPI measures. Implement process, Collect baseline data. Retention and ROI for international Heads of Nursing to launch 30, 60 and 90 day feedback for all new recruits. Monitor compliance with process. Measure retention for 2019 International staff. Monitor compliance with 30, 60 and 90 day feedback. nurse programme Embed Safe Care System in all areas Monitor compliance . Aim for 75% compliance. Monitor compliance. Monitor compliance.
Right workforce Evaluate roll out and governance effectiveness. Governance for Advanced Clinical Establish workforce governance group. Complete impact assessment of grade alignment. Establish working group in 3 Directorates and implement. Amend as required. Practice Roles Develop standard JD and outcome criteria. Align with recruitment. Develop timetable for rollout - Pilot and evaluate in 1 Directorate. Establish working group in more Directorates and implement. Two Directorates from each division identify top ten leaflets in use and commence co- Develop / educate engagement champion reps on the principles of co-production. Develop Trust wide expertise in co-production methodology. production redesign. Each Directorate invites a relevant patient into a key work stream working group / Co-production with our patients Each will develop a plan for review of information leaflets. Develop TOR and recruit an engagement champion from each directorate. Promote case studies of service user involvement via the nursing website and CNO blog. committee. Develop a register of co-production activities. Link to educational resources. Revised care plans implemented. Compliance with risk assessments and care plans aim for 75%. Nursing Documentation Revised risk assessment documents implemented. Develop and implement intervention charts. Community Acuity Tool developed. Community acuity tool implemented. Excellence in Care "The Wolves Way" Scoping of Wolves Way including Ward rounds with Div. 2 and nutrition and mealtime C15 to pilot the ward round method. 4 pilots in place. Ward Accreditation standards with pilot ward. CQI project defined with focus areas and baseline measures. Supporting documents Time critical medication CQI project initiated. Medication Safety Roll out of time critical medication CQI project. Aim for 25% reduction in omitted or delayed doses. including training packages devised. Pilot wards identified and project scope finalised. Decrease in omitted doses of time critical medication on pilot wards demonstrated. Reduce serious incidents related to pressure ulcers and falls by 50% each year. Measure and report pressure ulcer incidents. Develop patient co-production opportunities with key stakeholders. Pressure Ulcer Reduction Develop and roll out training plan for pre-reg and new staff. Review wound formulary and relevant pathways to meet recommendations of the Pilot patient involvement plans for prevention. Open Nurse Led Wound care clinic with partial transfer of patients. Falls Reduction Approve business case for Wound care clinic. national wound strategy. Fully opened Nurse managed wound care clinic. Evaluate new risk assessment and intervention charts. Monitor falls with QI plan for outliers. 3 work streams- Surgical wounds, lower leg wound and pressure ulcers launched. Nutrition and Hydration on inpatient Launch mouthcare and nutrition / hydration risk assessment. Revised fluid balance hydration charts. Compliance with risk assessments and charts aim for 75%. Wards
Excellence in care Re-launch revised Swan documentation. Complete roll-out of surprise question in huddles. End of life care Re-design EOL discharge pathway. Launch ReSPECT policy. ReSPECT traninig >75% in launch areas. Establish baseline of patients who die in their preferred place. 100% use of ReSPECT. DNAR withdrawn. Review and publish questions to support mental health, safeguarding and MCA/DOLS. Improve DOLS reporting by at least 50% compared to Q3 20/21. MCA assessment audit is >80%. DOLs reporting sustained at >35/month. Vulnerable people Evaluate revised MCA assessment. MHA Level 3 training is >85% for all relevant staff. Mental health care plans evaluated and enhanced where appropriate. MH training at >85%. Launch MHA administration policy. Measure Q2 - Sepsis 6 actions and on time Obs. Apply learning from pilot wards to improve accuracy of data re; obs on time and sepsis Measure Q3 - sepsis 6 actions and on time obs. Measure Q4 - sepsis 6 actions and on time obs following protocols (Sepsis 6 and NEWS2) Deteriorating patient and Sepsis Review and revise sepsis and deteriorating patient audit questions/process for data 6. Revise policy and associated ward communications. with a 10% annual improvement target. capture. Saving babies’ lives Element 1 Prepare business case for smoking cessation team and present to Division and CCG. Strengthen smoking cessation team - with recruitment if B/C successful. Monitor SATOD and initiate PDSA cycles as needed. Reducing Smoking Monitor smoking at time of delivery rates (SATOD). Monitor SATOD. Align Nursing and AHP Leadership Develop TOR with scope for review including annual evaluation tool. Consult within Conduct AHP leadership structure review. Draft report for approval and implementation. Implement recommended action and changes for BAU from Q1 22/23. Structure RWT and STP Partners. Focus groups to consult on the scope of evaluation. Internal audit / specialist to review/adapt evaluation specification to commence. Audit Evaluate the effectiveness of Nursing Complete evidence gathering and evaluation, drafting of report for 1st draft Final report and recommendations presented to the Trust (including a short review Develop draft specification. Decision on specialist to undertake evaluation review e.g. scope and standards finalised by Internal audit (to include a short review template with and AHP Structures consultative submission. template with measures for improvement checking). Trust action planning. Internal audit or commissioned support. measures for improvement checking). Undertake evaluation.
structure Expand AHP Professional Review new Trust Committee structure and assess AHP presence at appropriate Review AHP internal reporting structures for feedback and feed - up to Trust meetings. Review AHP JDs where appropriate for assigned responsibilities. Outputs evaluated with Culture and Culture
organisational Representation in RWT Committees meetings. Request amendment to TOR as appropriate. Recommend/appoint AHP to appropriate committees. annual review. Kind and caring Safe and effective
Exceeding expectations Quarterly leadership council occurred. Development of current SG initiatives Quarterly leadership council occurred. SG embedded in key educational programmes to Quarterly leadership council occurred. Increased AHP presence in SG. Annual report Shared Governance (SG) Relaunch database detailing project outcomes to determine baseline. Development of ongoing Quarterly leadership council occurred. An increase in SG initiatives. raise awareness. An increase in SG initiatives. sharing good practice of improvement projects. communication strategy. Intranet Refinement Gap analysis commenced of content of current internet site. Gap analysis is concluded of content of current site and available to senior nurses. Plan is developed for reworking of intranet site & timescale. Intranet site review is completed. Digital Communication innovations Scope App development. Identify plan for app implementation. Identify content and map of App content. App developed & tested. Publish Care to Share. Publish Care to Share. Care to Share Publication Publish Care to Share. Publish Care to Share. Evaluate Chief nurse blog. Provide results of blog evaluation and draft plan based on findings. Digital promotion of Education and Scope current Trust systems for bite sized education / podcasts. Collate content for preferred systems. Publish media as identified. Publish media as identified. podcasts Complete first edition of PA framework. Communication Professional Advocacy (PA) Launch professional advocacy service in early adoption areas. 10 PAs complete training (Cohort 3) Commence cohort of 10 trainee PAs (Cohort 4). Review PA service in early adoption areas. Commence cohort of 10 trainee PAs (Cohort 3). Nurses have access to key well-being resources via Trust. Measure baseline hit rate from A system of monitoring the nursing, midwifery and health visiting uptake of resilience National staff survey wellbeing results for AHPs, Nurses and Midwives improve by 5% Work Life Balance nursing web site to wellbeing links. Resilience training in place is evaluated to identify further developments required. training is in place. over 2020. Promote the current trust resilience programme undertaken by nurses. Publish data internally for numbers accessing Care Certificate (CC) and Supervisor and Health Care Support Worker (HCSW) Scope baseline for care certificate compliance. Scope Maths and English levels and 25% of care certificates are completed within time frame. 20% of clinical areas will have Publish data internally for increasing numbers accessing and attaining Maths and Assessor Course course (SA). Certification resources. Scope and design assessor course for HCSWs. a least 1 HCSW as a trained Assessor. English. Publication lead and source identified. HCA steering group in place. Scope publication opportunities. Establish baseline numbers of Supervisors and Assessors. Set up Student Evaluation Margins will narrow in differences of staff WTE ratio to learners across placements. Roll Enhance supervision, assessor and Scope current ratio of WTE staff to learners and agree growth trajectory. Scope and 25% of WTE will be Supervisors and Assessors. Evaluation team of internal reviewers steering group. Set up Collaborative Leaning in Practce (CLiP) project group and pilot out CLiP model. Link evaluation data to Nursing dashboard. Publication lead and source coaching skills pilot an evaluation tool. Pilot CliP. Scope publication opportunities. will be developed. Launch evaluation system. sites. identified. Establish baseline numbers of Trust PEFs. Baseline data for PGCE. Baseline data for 50% of PEFS complete PEF competency within for 6 months. Scope current ratio of PEFs Standardise role for PEF Commission PEF PGCES. Monitor staff competency completion rate against PEF ratio. 50% of PEFs have joint appraisal and 75% complete PEF competency is first 6 months. Appraisal. Baseline data for PEF competency completion. Monthly forums in place. to WTE in their area. Scope baseline of staff competency completions.
Education All fundamental plus uploaded e.g blood gases, Ng feeds. All clinical teams have access All area specific competencies uploaded. All clinical teams will have access to area Competency All fundamentals uploaded. Governance process piloted. to fundamental data. Draft process and reporting mechanism agreed. specific data. LMS and VLE provider identified. Scope and identify favoured QA approach for online education. . Initial CPD modules Licenses available for all staff to have access to VLE. Develop QA tool and process to QA Expand CPD Access 2 X CPD Education Quality posts appointed to. Steering group established. CPD TNA complete and high priority modules identified. Scope and plan E-CPD content available for pilot. each e-project. Measure baseline of number of staff accessing VLE. Publish first data set. for HCSWs. Evaluate Research Activity Develop baseline survey of research activity. Roll out baseline survey. Present survey results with key area for development. Repeat baseline survey of research activity - 20% improvement in all 5 areas of activity. 1 income-generating research project. Primary and Secondary Research 2 completed postgraduate research projects. 1 completed Critically Appraised Topic (CAT). 2 peer-reviewed journal publications. Publications and Presentations 1 accepted conference abstract. Research 2 postgraduate seminar presentations. Care to Share and research reports and Care to Share report. Care to Share report. Care to Share report. Care to Share report. annual conference Annual Trust Board Report. RWT Annual Research Conference.
Description January - March 2022 April - June 2022 July - September 2022 October - December 2022 Apprentice programme for Assess need for additional apprenticeships. Measure retention. unregistered staff Career map consistent with Job Review / revise / approve band 8 AHP / registered nurse job descriptions. Descriptions Improve internal transfer process KPI measures. KPI measures. Retention and ROI for international Measure retention and rate of referral for Clinical Education Support for 2019 Measure retention and rate of referral for Clinical Education Support for 2020 Measure retention for 2020 International staff. Monitor compliance with 30 - 60 - 90 day feedback. nurse programme International staff. International staff. Embed Safe Care System in all areas Aim for 85% compliance. Monitor compliance. Monitor compliance. Aim for 90% compliance. Right workforce Governance for Advanced Clinical Establish working group in 3 more Directorates and implement. Establish working group in 3 more Directorates and implement. Establish working group in 3 more Directorates and implement. Audit job plans and measure quality and productivity outputs. Practice Roles Two further Directorates from each division identifies top ten leaflets in use and co- Council of Members integrated into the editing function of the Listen, Learn Share Complete roll out of leaflet revisions. Co-production with our patients production redesign. publication. Evaluate co-production methods used. Nursing Documentation Compliance with risk assessments and care plans aim for 80%. Compliance with risk assessments and care plans aim for 90%. Excellence in Care "The Wolves Way" Q8 50% wards accredited. Ward Accreditation Further 25% reduction in omitted doses demonstrated (50% reduction overall since Medication Safety Measure Q5-8 with aim for further 25% reduction in omitted or delayed doses. start of CQI project).
Pressure Ulcer Reduction Measure and report pressure ulcer incidents. Evaluate patient involvement opportunity. Launch patient involvement opportunity. Measure and report pressure ulcer incidents. Falls Reduction Evaluate impact of training plan for new staff. 50% reduction in SUI related to falls and pressure ulcers from prior year.
Nutrition and Hydration on inpatient Compliance with risk assessments and charts aim for 80%. Compliance with risk assessments and charts aim for 90%. Wards Evaluate RWT EOL care through patient feedback. Evaluation of system driven end of life care. End of life care Progress system driven end of life care is accessible beyond acute services. Further >20% of identified patients dying in preferred place. Increase of 20% in patients dying in preferred place compared to baseline. >50% relevant patients are registered on system driven EOL care platform. Excellence in care Standards on Mental Health Act use are sustained. Vulnerable people Use of the Mental Health Act is 100% compliant with policy. Standards on Mental Capacity Act use are sustained. Measure Q8 - Sepsis 6 actions and on time obs with a further 10% improvement in Deteriorating patient and Sepsis Apply learning from pilot wards to improve quality of sepsis care. Measure Q6 - Sepsis 6 actions and on time obs and mortality related to sepsis. Measure Q7 - Sepsis 6 actions and on time obs and mortality related to sepsis. protocol compliance over 2021 and measure mortality related to sepsis with a 5% annual Improvement target. Saving babies’ lives Element 1 Monitor SATOD and initiate PDSA cycles as needed. Monitor SATOD and initiate PDSA cycles as needed. Reducing Smoking Align Nursing and AHP Leadership Annual Review Report with recommendations for any further improvement actions to Structure implement for next financial year. Evaluate the effectiveness of Nursing Implement recommendations / action plan and feed outputs into the Nursing and AHP and AHP Structures Leadership Structure Theme.
structure Expand AHP Professional Culture and Culture Representation in RWT Committees organisational
Kind and caring Quarterly leadership council occurred. Safe and effective Quarterly leadership council occurred. Quarterly leadership council occurred. Shared Governance (SG) Relaunch Increased AHP presence in SG.
Exceeding expectations Increased AHP presence in SG. An increase in SG initiatives. Annual report sharing good practice of improvement projects. Intranet Refinement Intranet site is re-launched with plan for sustainability of content and update. Evaluate digital offer. Publish findings of evaluation. Digital Communication innovations Launch App. Evaluate digital offer. Publish findings of evaluation. Publish Care to Share. Care to Share Publication Commence digital communication (blog/podcast etc.) plan to coincide with App Publish Care to Share. Publish Care to Share. Publish Care to Share. development. Digital promotion of Education and Publish media as identified. Evaluate digital offer. Publish findings of evaluation. podcasts Communication Professional Advocacy (PA) 10 trainee PAs complete training (Cohort 4).
National staff survey wellbeing results for AHPs, Nurses and Midwives improve by 5% Work Life Balance A framework for resilience is in place and promoted via nursing electronic resources. Measure hit rate of nursing website links to wellbeing resources. Nursing resilience resources are evaluated and recommendations made. over 2021.
100% care certificate compliance. 50% of care certificate is completed within time frame. Health Care Support Worker (HCSW) 75% of care certificate is completed within time frame. Data for accessing and attaining Maths and English increases. Assessors course uptake will increase. 75% of clinical areas will have a least 1 HCSW as a trained Assessor. Certification Publish data internally for increased numbers accessing and attaining Math and English. HCA development hours agreed and in sufficient CPD offer in place. HCA minimum hours of CPD included in Trust policy. External publication of material. 75% of WTE staff will be Supervisors and Assessors. Enhance supervision, assessor and 50% of WTE will be Supervisors and Assessors. > 95% of WTE staff will be Supervisors and Assessors. Margins will narrow in differences of staff WTE ratio to learners across placements. 75% of clinical areas will have a least 1 HCSW as a trained Assessor. coaching skills Evaluation internal review of directorate piloted. External publication of material. Rate of return for student evaluation will increase. 100% of PEFs achieve PEF competencies within 6 months of starting in post. Commission PEF PGCES. Standardisation of role for PEF Monthly forum continues. Monitor staff competency completion rate against PEF ratio. > 80% of PEFs have attained a PGCE. Education Monitor staff competency completion rate against PEF ratio. 100% of PEFs have joint appraisal with Education. Role specific competencies uploaded. All competencies on clinicalskills.net. Competency Governance process agreed. Live data is available for role specific competencies. Governance process rolled and out and embedded. 40% of staff will have completed the CPD portfolio for their professional group. 75% of staff will have completed the CPD modules for their professional group. Expand CPD Access > 95% of staff will have completed the CPD modules for their professional group. Sufficient E-CPD content available for HCSWs. Agree reporting mechanisms for uptake. Develop process for ongoing QA. Evaluate Research Activity Repeat baseline survey of research activity - 20% improvement in all 5 areas of activity. 1 income-generating research project.2 completed postgraduate research projects.1 Primary and Secondary Research completed Critically Appraised Topic (CAT). 2 peer-reviewed journal publications.1 accepted conference abstract.2 postgraduate Publications and Presentations seminar presentations. Research Care to Share and research reports and Care to Share report Care to Share report. Care to Share report. Care to Share report. annual conference Annual Trust Board Report RWT Annual Research Conference.
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Every member of the nursing, midwifery, health visitor and allied health professional teams should have their own copy of the CSF booklet. These have recently been distributed across the Trust, to both acute and community areas. The booklet contains information about the fundamentals of the CSF, including its pillars, milestones and shared goals. Ward areas / departments should also have received ‘The RWT Nursing, Midwifery, Health Visitor and Allied Health Professional Clinical System Framework (CSF) MILESTONES Feb 2021 - Dec 2022’ poster as displayed above. If you haven’t received your booklet or a poster in your area, please contact the RWT Quality Team on ext. 705978. Our shared vision for continuous improvement, providing safe, effective and high quality care for all our service users.
14 Care to Share Spring 2021 Wordsearch Entry details Correct entries should be posted to The Post Room, New Cross Hospital.
Any enquiries should be sent to rwh-tr.nursingnewsletter@ nhs.net
There will be four categories: W S N T E E S R H P L W M nursing, midwifery, health visiting and allied health O T C U P R W T D K E T I professional teams. There will R R U A R E E P P R E E L be a prize for each category (and for each band within each K U L T R S U S F E W C E category).
F C T X F E E P C C T H S Band 1 to 2
O T U Q U A L I T Y E N T Band 3 to 4
R U R P P R T L M F W O O Band 5 to 6 C R E D U C A T I O N L N Band 7 to 8 E E N R A H P W R T V O E There will be a team prize for S T A R E C D F E N L G P wards and departments who have entered and engaged the T Q P T F I S A F E T Y P most with the competition. R N K S M L E N E H V C N Winners to be drawn on Friday, E X C E L L E N C E Q L T April 30th 2021.
AHP CARE CSF CULTURE EDUCATION EXCELLENCE Supported by HV MIDWIFE MILESTONE NURSE PRACTICE QUALITY RESEARCH RWT SAFETY STRUCTURE Registered Charity No. 1059467 TECHNOLOGY WORKFORCE
Name...... Department......
Band...... Category......
Email address:......
Spring 2021 Care to Share 15 Competency Project
Alison Wells, Deputy Head of Nursing for Education
In 2020 the Trust purchased a licence for clinicalskills.net which Full access to all nurses, midwives and healthcare support is a web-based package that allows you to access almost 400 workers will be implemented over the next few weeks and this clinical procedures. The Trust has adopted this in place of the will be extended to allied health professionals. Royal Marsden. As part of the new Clinical System Framework (CSF), we will be Currently, you can access the procedures via the intranet: using clinicalskills.net to assess the competency of every, nurse, midwife and healthcare support workers on the fundamentals of care. These include: 1. Trust intranet homepage • Hygiene • Tissue viability ▼ • Nutrition and hydration 2. ‘Quick links’ • Infection prevention • Continence ▼ • Medicines management 3. Click the ‘C’ button C • Privacy and dignity ▼ • Observations (deteriorating patient). 4. Clinicalskills.net This is an exciting opportunity to develop your skills and to ensure that we consistently deliver a high standard of patient Some staff already have their own logins and so have full access. care. This means they can access their own dashboard and create their own profile; they can record professional development and To check if you have full access to clinicalskills.net, ask your performance as well as access all the procedures and tests. This manager or your Practice Education Facilitator. If your area can all be done from any device, even when you are not at work. has not yet been included, ask your manager to email me via [email protected] Dashboard
16 Care to Share Spring 2021 Reaping the Rewards of Research
Dr Kirsty Hunter, Research Operations “The vaccine registry has also meant Manager at the Clinical Research Network a pool of volunteers has already been West Midlands (CRN WM), received the identified to take part in these trials. It is Pfizer-BioNTech vaccine on Tuesday, an amazing achievement to get a vaccine December 22nd 2020. Kirsty, who lives in in less than a year that is so effective.” Halesowen with her family, says: A huge amount of research is underway “Having spent the last nine months to identify effective COVID-19 vaccines, in of my job supporting the urgent set partnership between the UK Government, up and delivery of COVID-19 trials, NHS, industry and other organisations, in I was delighted to be invited for my the shortest time possible, so they can be appointment to receive the vaccine. deployed to protect the public. “Protection from COVID-19 was an Large numbers of people are being asked early Christmas present and getting the to volunteer to join these trials, and it vaccine was a poignant moment after our is important volunteers represent the amazing team at the CRN WM had been population as a whole so that we can be working tirelessly throughout the year confident that a vaccine/s will work for setting up and ensuring the successful everyone, including older people, people delivery of COVID-19 trials. with other health conditions, and people from all ethnic backgrounds. “I thoroughly appreciate the dedication Dr Kirsty Hunter, Research and commitment of research teams, Over 26,000 people in our region have Operations Manager scientists and NHS staff in getting to this already signed up, but we still need more. point. Staff have worked around the clock Those volunteers are giving their to ensure their part of the process can be You can volunteer by visiting the NHS permission to be contacted with completed as quickly as possible and no COVID-19 Vaccine Research Registry at information on the new COVID-19 vaccine corners have been cut. www.nhs.uk/researchcontact studies and will to be invited to join. The RWT Dignity Awards 2020 The RWT Dignity Awards 2020 celebrates West Park Hospital. Team 2020 Dignity Award Runner-Up: individuals within the Trust whom go The winner of the Team 2020 Dignity Ward 1, West Park Hospital. the extra mile for their patients. RWT Award: Ward C26, New Cross Hospital. Please see our video message on the Trust continues to support and promote the intranet from our Chairman, Professor dignity agenda as a core business within Steve Field OBE, who provides more detail the Trust. Congratulations to all those who about our worthy winners. were nominated into the process. May we Katrina Creedon, Senior Matron (Quality also take this opportunity to thank our Team) said: “I am very proud of my esteemed guest panel members for their colleagues who role model what dignity in time and fabulous feedback about our care is, daily in their practice. Well done.” nominated colleagues: Jan Burn, National Dignity Council Chair and Tracy Cresswell, Ward C26. This is a composite image made Local Manager of Health Watch. up of individual images. The Dignity Awards is supported by: It is with great pleasure to announce the Each award recipient received a special winners of The Royal Wolverhampton NHS trophy, £25 voucher and a certificate. Trust 2020 Dignity Awards: Individual 2020 Dignity Award Runner-Up: The winner of the Individual 2020 Dignity Peter Peterkin. Award: Matthew Whitehouse, Volunteer, Registered Charity No. 1059467
Spring 2021 Care to Share 17 Don’t forget to share your news! News in brief Email us at: [email protected] Spring 2020
• Journal of Kidney Care undertaken since the beginning January • Journal of Prescribing Practice 2021. T o e e • Journal of Wound Care The most published authors added to the • Nursing and Residential Care repository currently are Rousseau Gama • Practice Nursing. (29), Matthew Brookes (21), Clare Ford (21), Phil Tittensor (18), Raghavan Vidya The InterNurse collection can be found by InterNurse Journal (16), Nicola Eddison (15) and James visiting www.magonlinelibrary.com/ Cotton (13). Collection page/collections/internurse Pam Collins, Medical Librarian We are now starting to retrospectively add To access the collection you will require an The Library Service has purchased access 2018 and 2019 publications. Open Athens account. If you do not have to the renowned ‘InterNurse’ collection. an OpenAthens account, you can register If you have a list of publications InterNurse is a searchable database of at openathens.nice.org.uk/ you would like to submit, please 17 peer-reviewed journal titles published email the repository team at rwh-tr. by the Mark Allen Group. There are [email protected] or use the approximately 200 new clinical and online submission form. professional articles added each month. More information about the repository You may search the site and set up a can be found on the libraries website: personal profile to access the full suite of royalwolverhampton.libguides.com/ content and article tools. welcome/PublicationsRepository. Journal titles included with full text Oximetry at Home include: Innovation • British Journal of Cardiac Nursing RWT Staff Publications Leigh Dillon, Matron – Planned Care, • British journal of Child Health Repository Update – Supportive Care and Virtual Ward • British Journal of Community Nursing March 2021 Adult Community • British Journal of Healthcare The repository is now live and holds ‘Oximetry at home’ is predominately Assistants records of 364 items (as of Friday, March primary care referral-led with a view to 12th 2021) published by RWT staff. • British Journal of Mental Health preventing hospital admission, so referrals Nursing There have been 121 additions since the from GPs, West Midlands Ambulance • British Journal of Neuroscience end of December 2020. Of these, 42 items Service and self-referrals are accepted. Nursing have been published since the beginning These tend to be lower risk patients whom • British Journal of Nursing of January 2021. we will virtually monitor for 14 days up • British Journal of School Nursing For the 2021 content, currently the most to three times a day. We issue them with • Gastrointestinal Nursing popular area of publication is COVID-19, a SATs probe to monitor heart rate and • Independent Nurse with ten items published. oxygen levels. We educate, train and offer • International Journal of Ophthalmic assurance whilst they are feeling unwell to A total of 201 articles have been added Practice try and avoid hospital admission. for the year 2020 and 62 items for 2019. • International Journal of Palliative The virtual COVID-19 ward is our Nursing stepdown pathway – where the acute base ward will discharge into our care for • Journal of Aesthetic Nursing Since going live on Monday, November those who may still require oxygen and • Journal of Children’s and Young 9th 2020 there have been 2,451 searches COVID-19 regime treatment. ‘Hospital People’s Nursing completed by individuals accessing at Home’ will do face-to-face visits daily • Journal of Health Visiting the repository, of these 561 hits were
18 Care to Share Spring 2021 to wean the patient off oxygen and ensure they are taking their New Cross Hospital. Here I met some amazing newly qualified COVID-19 medication regime as they should, while the virtual nurse associates who made an outstanding team on the trauma team will then make a further contact. ward. I was informed of an official Ambassador role within the Trust and along with SSR Winter and NA lead Phrechie Estoya’s We are looking to do video calling with these patients, as support, I applied through Wolverhampton University. we recognise they are still acutely unwell, so face to face consultation virtually will offer that added reassurance when I am proud to be an Ambassador for nurse associates within RWT needed in between those daily face to face community nursing and am currently working with the university to make recruitment visits. We will also set up a WhatsApp conversation for them, to material for when the Trust starts recruiting new nurse associate drop us a message with questions, as some people prefer this apprentices. In the meantime I have set myself a project and am method to calling. In essence, the method of contact is led by currently in discussions with the Pharmacy Department to revisit what is preferable for the patient. and update their medicines and control drugs policies. We will monitor these patients for 14 days with the view that Sarah Winter, Senior Sister, said: I was asked by Karen Glover we can step the patient down again to oximetry at home, once who was at the time the Senior Sister of Hilton Main ward to weaned off oxygen for a further 48 hours monitoring off oxygen attend interviews for a nursing associate position at Hilton Main if needed, this will be on an individual basis. Patients on this Hospital. pathway, have to have a target SATs range agreed by the medical team. Patients suitable for the COVID-19 virtual ward must be Sian attended for her interview and she was like a breath of fresh non-smokers, they must have mental capacity and a suitable air; she is full of enthusiasm for the role; she gave a near perfect living environment to reduce the risk of fire given they are being interview and both Karen and I were extremely impressed by her discharged with oxygen at home short term. competence and enthusiasm for the role even at this early stage. I have been fortunate to get to know Sian a little better as Becoming a Nurse Associate and she has now been redeployed to Ward A6 due to COVID-19 Ambassador where I am currently based. She has been a huge support to the two newly qualified nursing associates and has proven to Sian Cadman, Nursing Associate be confident and highly adaptable. She is a perfect candidate to I started working for the NHS six years ago as a healthcare become a nursing associate ambassador for the Trust and I look assistant on an acute medical ward. I admired the work of my forward to seeing the improvements she will undoubtedly make nursing colleagues and loved caring for people but felt I could for this role within the NHS. do even more. With much encouragement from my healthcare friends and family I applied for the BSc Adult Nursing at Wolverhampton University. At the same time, a new pilot study of Trainee Nursing Associates was being launched. I went to both interviews and was successful. I decided to go for the course because I was intrigued about the role which could change the nursing workforce as we knew it. I completed my first 18 months of the two year course and had a break in study to have my daughter who is now two. I returned to study and completed my nursing associate degree, receiving my PIN number from the Nursing and Midwifery Council (NMC) in August 2020. While training I was lucky enough to have the opportunity to go to London for the first nurse associate community of practice, present in front of the NMC and Nursing Times at their healthcare conference and even present to the fast followers of the Nurse Associate programme at Worcestershire University. I did a lot of networking and made some great friends. As soon as I qualified I moved to The Royal Wolverhampton NHS Trust, at Cannock Chase Hospital on the Hilton Main ward. At my interview I was eager to see how nurse associates were perceived within this Trust and asked if I could continue a champion role for nurse associates. Both Matron Karen Glover and Senior Sister Sarah Winters encouraged a champion role and were extremely supportive. Moving from Medicine to Surgery was a challenge but the support from staff at Hilton Main made it so much easier. Sian Cadman, Nursing Associate Shortly after starting my post I was redeployed to Ward A6 at
Spring 2021 Care to Share 19 British Journal of Nursing Award Winner
Congratulations to Maria Tan, nomination. I have a long list Advanced Clinical Practitioner, of colleagues who made this who has been awarded the title possible and it really is a credit of ‘Gastrointestinal / IBD Nurse to you all. So proud to represent of the Year’ at this year’s British RWT and I’m incredibly proud Journal of Nursing Awards. to be a nurse.” Having joined the Trust in Two other colleagues were 2003 as an overseas nurse shortlisted at this year’s awards from the Philippines, Maria has ceremony: Neil Jarvis, Matron for progressed from Staff Nurse Maria Tan, Advanced Clinical Gastroenterology and to Junior Sister, Senior Sister, Practitioner. Neil Jarvis, Matron for Endoscopy Ward Manager then Matron for Gastroenterology and Gastroenterology before her current role. Endoscopy, ‘Respiratory Nurse of the Year’ category. This award recognises Maria for her efforts in developing a nurse- led paracentesis and infusion service that has helped prevent Kelly Kusinski, Urology unnecessary hospital admissions. She was nominated by Dr Advanced Nurse Practitioner, Shyam Menon, a Gastroenterology and Hepatology Consultant, ‘Urology Nurse of the Year’ for her outstanding work. category. Maria said: “I’m humbled and honoured to receive this award. Congratulations to Neil and Nothing would be possible without the commitment and passion Kelly for achieving this level of of the whole Gastroenterology Team. recognition and a big thank you for going above and beyond to Kelly Kusinski, Urology “Thank you for the belief, the support and to Dr Menon for my improve care for patients. Advanced Nurse Practitioner
The Summer edition of Care to Share will be a dedicated health and wellbeing special. Send in your articles by Friday, May 21st 2021: [email protected]
Editorial Board Editors in Chief: Katie Haywood, Matron for Gynaecology Services Vanda Carter, Practice Education Facilitator for Research
Managing Editor: Communications Department
Design: The Department of Clinical Illustration
Please note all photos within this newsletter have been taken within social distancing guidelines or prior to COVID-19.
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20 Care to Share Spring 2021