Cepta Hamm Head of Nursing

and

Karen Bonner Deputy Head of Nursing

Effective Ward Manager

Liberating Ward Managers to lead

Agenda

1. Enabling the vision for 75% clinical leadership time

for Ward Sisters: reducing administrative and office

based tasks through a concierge service

2. Changing culture and attitudes: what “its my ward!”

means in practice

3. Our experience and measuring success

1. Enabling the vision for 75% clinical

leadership time for Ward Sisters

Excellent Ward Project

Excellent Ward Project

• The aim of the Excellent Ward project is to review all estates and facilities

• (Essentia) provided services that are received by 6 pilot Wards ensuring

that

• Clinical teams and patients receive a ‘one stop, right first time’ service.

• Includes non clinical and support services that impact on the ward and its

• efficiency

• The 6 Pilot Wards

• Elderly Care [including Stroke]

• Renal specialties.

We Will

•Build a

communication

model that

supports shared

decision making &

teamwork on the

ward

•Review and

improve the

Patient

Experience from

admission to

discharge

•Launch the

‘Excellent Ward’

Joint Project with

our Clinical

colleagues

We Will

•Develop and

agree a service

model for all

Essentia Services

•Introduce and

deliver Essentia

pledges that

support

compassion and

excellence of

service

• Develop the skills

across all Essentia

teams to support &

care for all our

patients

We Will

•Embed the

agreed Essentia

Service Level and

key performance

indicators at ward

level

•Review all current

operational

procedures and

ensure they are fit

for purpose ,

efficient and

reflect the ward

requirement

•Develop a Ward

based ‘Standard

Operating Manual’

for all Essentia

Services

We Will

•Support Ward Sisters in releasing time to care by designing and implementing new ways of working •Create a Leadership service model that empowers and aids local decision making

•Challenge convention and find innovative solutions to problems

We Will

•Develop job descriptions & skills matrix that reflect the competencies required to deliver an excellent service

•Develop training materials and programmes to support all staff •Pilot the one number for Essentia services across the ward environment

We Will

• Acknowledge commitment & achievement through Trust & Local Recognition schemes •Develop our Management Academy& recruitment programme to support new ways of working

•Embed the 6C and Trust Values in to teams

Responding to Compassion in Practice - Developing Excellence in support services

The Excellent Ward 6Cs

Strengthening Leadership in

support services

Delivering a high quality and

measurable service

Delivering an excellent and positive

patient experience

Staff, with the right skills, in the right place getting it

right the first time

Working to provide an excellent patient

experience

Sharing our ideas & Information to support

patient care

Excellent Ward Project

• Handy Man/Trades Person – Providing a dedicated ‘Handy Man’ service on a

fortnightly basis for non-urgent work required on Wards.

• One Stop Number – Providing a dedicated number to call for all 16 Estates and

facilities services 24/7.

• Dedicated Portering – Dedicated portering service provided during core business

hours 8am – 6pm.

• Catering – an improved Elderly Care nutritional model is being developed. This

includes an ‘Elderly Care’ grazing menu with a 24 hour service. The introduction of

Dementia awareness crockery.

• Ward Clerk Training Programme –. Service re-design for this role is seen as key in

providing a Ward based centre of excellence across both clinical and non clinical

teams. .

• Patient Transport – Full review of the patient discharge pathway which includes

capturing time savings within the patient journey from discharge to arrival home.

Excellent Ward Project

• Dedicated Wheelchairs – Based on Elderly Care Wards 9th Floor St

Thomas’ which are used by both Patients relatives and Ward teams

• Linen and Laundry Review – a full review of stock, quality and service

configuration.

• Omni-Cell/Stock Control – Stock control and service issues identified

within the Survey..

• Catering – Birthday Cakes and Fruit bowls provided in day rooms

• Waste Management – New ‘user friendly’ design bins on all pilot Wards.

• The re launch of the KIC at St Thomas’ to facilitate a more user friendly

interaction with IT.

2. Changing culture and attitudes: what

“its my ward!” means in practice

Guys and St Thomas’ NHS Foundation Trust

understands and supports ward sisters as the VIP's

What makes a great ward sister?

(Shelford Group)

1. Integrity

2. Ownership

3. Relating

4. Delivery

It’s my ward! • Doing the right thing

• Honesty

• Really important to make a difference

• Love to be in charge

• Lots of drive

• Very high standards

• Love to be on top of things

• Like to be hands on

‘It’s My Ward!’

• Like to have lots going on

• Keep going when things get tough

• Buzz out of developing others

• Pick up on peoples’ needs

• Good at explaining things to others

3. Our experience and measuring

success

Qlik View- Ward Quality Sata

Safe in Our Hands

Safe In Our Hands

Patient Harm from Pressure Ulcers

Number of Patients admitted with Pressure ulcers

Average Number of Patients at risk of Pressure ulcers per

day

Number of Patients with attributable Pressure ulcers

176

M Tu W Th F

Daily patients at risk of pressure ulcer

score

158

Hospital STH

Pressure ulcers on admissionOn admission

Alexandra 2

Coronary Care Unit 1

Henry 1

ICU 1&2 3

Luke (STH) 1

Page 1

Sarah Swift 5

Grand Total 14

Pressure Ulcers Attributable

Coronary Care Unit 1

ICU 1&2 1

Victoria 1

Grand Total 3

Hospital GUYS

Pressure ulcers on

admissionOn admission

Richard Bright 1

Samaritan 2

Grand Total 3

Pressure Ulcers Attributable

Grand Total

17

3