Trust Board papers November 2012 - Barking Havering and ...
Trust Board papers November 2012 - Barking Havering and ...
Trust Board papers November 2012 - Barking Havering and ...
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CQC Update Report<br />
<strong>2012</strong><br />
of the pilot analysis <strong>and</strong> capacity to<br />
roll its findings out across the <strong>Trust</strong><br />
<strong>and</strong> this will only be able to be<br />
assessed in the longer term. CQC<br />
compliance activity continues to<br />
suggest that the <strong>Trust</strong> faces<br />
challenges in terms of building a<br />
sustainable workforce with the<br />
right skills mix.<br />
STAFFING 63. Continue to recruit<br />
appropriate permanent staff to<br />
ensure that it reduces its<br />
reliance on agency <strong>and</strong> locum<br />
staff improving the quality of<br />
care, <strong>and</strong> have in place effective<br />
retention strategies.<br />
An accelerated recruitment project<br />
<strong>and</strong> reduced use of agency staff<br />
have been put in place, with<br />
recruitment needs assessed on a<br />
monthly basis. Exit interviews are<br />
now in place as part of KPIs <strong>and</strong><br />
are reviewed by Directors.<br />
The <strong>Trust</strong> has introduced suitable<br />
procedures here, but CQC<br />
compliance activity has identified<br />
on‐going challenges around locum<br />
use, particularly in A&E.<br />
Sept 12 update: Improved bank & agency controls have been<br />
introduced which are linked to more proactive booking of bank<br />
staff. E‐rostering KPI’s are measured at the same time as bank<br />
usage is requested in order to ensure every possible use of<br />
permanent staff has been explored first.<br />
Gill Perry<br />
Mark Smith<br />
MET<br />
BUSINESS<br />
AS USUAL<br />
STAFFING<br />
66. Support a skills escalation<br />
programme in the emergency<br />
department that seeks to<br />
develop nurses who have<br />
already successfully completed<br />
an emergency nurse<br />
practitioner or advanced clinical<br />
practitioner course <strong>and</strong> reduce<br />
reliance on them undertaking<br />
traditional nursing duties due to<br />
shortages of staff.<br />
A review of the A&E workforce has<br />
been completed <strong>and</strong> the unit has<br />
been benchmarked against other<br />
comparable trusts. A review of the<br />
skills mix, current roles, <strong>and</strong><br />
supporting roles has been<br />
undertaken <strong>and</strong> budgets reviewed<br />
in light of this. Current staff are<br />
taking part in an on‐going training<br />
programme to ensure staff update<br />
<strong>and</strong> refresh their skills. CQC’s<br />
compliance activity has identified<br />
on‐going staffing challenges in A&E<br />
<strong>and</strong> the longer term impact of this<br />
review work will need to be<br />
Head of Nursing for A&E appointed <strong>and</strong> in Post September <strong>2012</strong>.<br />
Lead for ANP<br />
•Review of KGH ED nursing workforce has commenced <strong>and</strong> is<br />
being led by the Clinical Nurse Director for Emergency Care. A<br />
review of the paediatric nursing workforce on both sites <strong>and</strong> the<br />
RAT (rapid, assessment <strong>and</strong> treatment) area nursing workforce at<br />
QH will also be undertaken in October.<br />
•Training competencies are being reviewed for all roles in the<br />
department to ensure that all staff have clear responsibilities <strong>and</strong><br />
competencies to undertake that role. This work is being led by<br />
the Clinical Nurse Director with support from the Matrons.<br />
•Advanced nurse practitioners have started in the ED.<br />
•Established weekly middle grade <strong>and</strong> SHO teaching is in place<br />
with a clear <strong>and</strong> structured training curriculum<br />
Derek Hicks<br />
Clare Dixon<br />
Samantha<br />
Elden‐Lee<br />
MET<br />
BUSINESS<br />
AS USUAL<br />
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