Trust Board papers November 2012 - Barking Havering and ...

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