Ms Suzanne O’Boyle
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Transcript of Ms Suzanne O’Boyle
Ms Suzanne O’BoyleProject Manager
NI Essence of Care Project
Essence of Care Presentation
Essence of Care – Where has it come From? English Nursing Strategy
“Making a Difference” (1999)
The NHS Plan (2000) reinforced importance of improving the patient experience
Benchmark standards tested, refined and endorsed.
Version 1 (2001) / Version 2 (2003)
Essence of Care Presentation
Essence of Care in NI to date Varying degrees of uptake
Primarily within rather than across organisations
Primarily Acute Sector
Essence of Care Presentation
The Project 16 Trusts
9 Nursing Homes
Prison Service Nursing
Marie Curie
Essence of Care Presentation
National – DHSSPS Level Essence of Care Links to:-
– Standard Development Task Group (SDTG)– Standards and Guidelines Unit– Health and Social Services Regulation and
Improvement Authority (HSSRIA)– Clinical and Social Care Governance
Support Team (CSCGT)
Essence of Care Presentation
Institutional Level Essence of Care provides a:-
– Focus on the Fundamentals of Care– Structured approach to Comparing and
Sharing Best Practice
within and between organisations
within and between disciplines
Essence of Care Presentation
Individual Level Essence of Care
Involves individual practitioners in the benchmarking process
Promotes user involvement
Encourages practitioners to seek and use evidence
Essence of Care Presentation
Clinical Governance Consultation and patient involvement
Clinical Risk Management
Clinical Audit
Research and effectiveness
Use of information about the patients’ and or carers’ experience
Staffing and staff management
Education, training and CPD
Strategic capacity
Essence of Care Presentation
Essence of Care ?? A Tool to help practitioners
To take a patient focused
And
Structured approach to sharing and comparing best Practice
Essence of Care Presentation
Benchmarking Acts as a standard
Enables practitioners / organisations compare practice and share difficulties.
Several approaches can be used:
wards / directorates / primary care teams / organisations can compare processes and structures
There must be a willingness to share practice
Essence of Care Presentation
Fundamental Aspects of Care
Published 2001, revised format 2003
All benchmarks are interrelated & relevant to all health & social care settings
National framework-local approach!
““seeing things through seeing things through the patients eyesthe patients eyes”
Essence of Care Presentation
The Toolkit - What’s in it? An overall agreed patient-focused
outcome that expresses what patients or carer’s want from care in a particular area of practice
factors that need to be considered to achieve the overall patient outcome
Essence of Care Presentation
The Toolkit - What’s in it? A benchmark of best practice for each
factor on a continuum
Indicators for best practice identified by the patients, carers and professionals!
Essence of Care Presentation
The Benchmark Process
STAGE 1 Agree best practice
STAGE 2 Assess clinical area against best practice
STAGE 3 Produce & Implement action plans aimed at achieving best practice
STAGE 4 Review achievement towards best practice
STAGE 5 Disseminate improvements & or review action plans
STAGE 6/1 Agree best practice
Essence of Care Presentation
Embedding into Practice Sufficient Time
– Time to build into everyday practice
- Embedded into the ethos
Ownership– Staff involvement at all
levels- Staff must be actively
engaged in achieving quality improvements
– Reflected in policies & procedures
Integration– Coherence with
other organisational activities / business planning
– Coherence with other organisational Q.A structures
Essence of Care Presentation
Success Factors Steering group
Driven from the top but grow from the grass roots.
Embedded into practice – creating time, ownership, integration
Recognition - Celebrate success
Essence of Care Presentation
Success Factors Champions
Timing
Cultural fit
Support
Facilitation
Teamwork
Essence of Care Presentation
Service Users Very important!
Patient Support Officer
Forums / Groups
Partnerships
Essence of Care Presentation
Impact of Essence of Care Staff
– Time out– Enhanced multidisciplinary / professional
working for the benefit of patients– Development of relationships with patients
and their carers in addressing issues that
matter to them– Non – traditional learning– Shared governance
Essence of Care Presentation
Key Principles Structured approach to improve quality of care
A vehicle for effective leadership & continuing development
Action plans to support practice developments that are responsive to patient needs
Promotes effective & meaningful multidisciplinary & inter agency working
Essence of Care Presentation
Role of Project Officer Facilitate at organizational level those wishing to
implement the Essence of Care Toolkit
Co-ordinating benchmarking across organizations
Assess the need for “tailoring” of the benchmarks to fit the Northern Ireland context
Ultimately ensure that the project links to the development of the overall Clinical and social Care Governance Structures as they take shape within northern Ireland.
Essence of Care Presentation
Facilitators Role Set up Essence of Care
Lead
Inform / Raising awareness
Maintain momentum
Produce reports for project officer
Essence of Care Presentation
Team Leaders Role Direct facilitation of the benchmark
Co-ordinate all activity in relation to benchmark selected
Produce reports to the facilitator regularly
Produce timely minutes of each group meeting
Represent group at higher level meetings / presentations etc
Essence of Care Presentation
Lessons learnt Leadership – crucial
Realistic timescales – “ Rome was not built in a day2 If there are no timescales it will get pushed to the back
Not to be used as a tick box exercise
As you become familiar with the process it gets easier!
Essence of Care Presentation
Lessons learned Evidence of effectiveness – staff need to see it
makes a difference as well as patients!
findings are fed back in terms of objectives and business planning within the organisation.
Keep it simple! Otherwise becomes complicated, unwieldy and lose sight of the little things that make a difference.
Essence of Care Presentation
Summary Working to achieve best practice in
fundamental care
It’s about what matters to patients, carer’s and health care personnel
It is integral to good clinical governance management.
Essence of Care Presentation
Finally Benchmarking through The Essence of
care challenges us to think outside the box and own our decisions.
The process is evolutionary not revolutionary – aim for quick wins!
Its the wee things that count!
Essence of Care Presentation
“The authority to engage in the Humanity of Care”
Essence of Care
Essence of Care Presentation
Contact InformationAddressSuzanne O’BoyleEssence of Care ManagerNIPEC, Centre House79 Chichester StreetBELFAST, BT1 4JE
Tel : 028 9023 8152
Fax : 028 9033 3298