Published in HSJ Local 13 March 2013
Three trusts to the south of Manchester are to work more closely together.
East Cheshire Trust, the University Hospital of South Manchester and Stockport Foundation Trust are to collaborate to ensure ‘clinical and financial sustainability’ while remaining separate organisations.
A report to the board of the East Cheshire Trust suggests this may give them more influence over commissioners in the area, who are seeking to establish clinical standards, and will better enable them to meet challenges.
Chartered Society of Physiotherapists (CSP)
This report into the wellbeing of NHS staff finds that physiotherapy services play a vital role in improving staff health and wellbeing. The evidence shows that early access to physiotherapy can reduce staff sickness rates, stop people going off sick at all, or help them return to work more quickly. It recommends investing in good occupational health services and prioritising staff health and wellbeing to make potential savings which can then be invested in patient care.
Centre for Workforce Intelligence (CfWI)
This paper is an assessment of current workforce issues and potential opportunities for improvement for the allied health workforce. It considers how best to organise this workforce across care pathways, considering factors such as optimum skill mix, education and leadership, and the QIPP toolkit. It is designed to support those who commission services and education, including local education and training boards.
The Francis report has called for a strengthening of the ward sister’s role. It recommends that sisters should operate in a supervisory capacity and should not be office bound. Effective ward leadership has been recognised as being vital to high-quality patient care and experience, resource management and inter-professional working. However, there is evidence that ward sisters are ill equipped to lead effectively and lack confidence in their ability to do so. University College London Hospitals Foundation Trust has recognised that the job has become almost impossible in increasingly large and complex organisations. Ward sisters spend less than 40 per cent of their time on clinical leadership and the trust is undertaking a number of initiatives to support them in this role. [Abstract].
Journal Title: Nursing Times .Year: 2013 .Volume: 109 .Number: (9) .Pagination: 12-15 . Nursing Times available from The Staff Library
This letter to chief executives of acute trusts follows up on a campaign by the Dementia Action Alliance launched in October 2012, which aimed to encourage all hospitals to commit to becoming dementia-friendly by March 2013.
An exploratory study
by Ruth Harris Ann Ooms Robert Grant Sylvie Marshall-Lucette Christine Sek Fun Chu Jane Sayer Linda Burke
Published online 09 November 2012.
Securing employment after qualification is of utmost importance to newly qualified nurses to consolidate knowledge and skills. The factors that influence success in gaining this first post are not known.
The study aimed to describe the first post gained after qualification in terms of setting, nature of employment contract and geographical distribution and explore the relationship between a range of factors (including ethnicity) and employment at the point of qualification.
An exploratory study using structured questionnaires and secondary analysis of data routinely collected by the universities about students and their progress during their course.
The study was conducted in eight universities within a large, multicultural city in the UK as part of the ‘Readiness for Work’ research programme.
Eight hundred and four newly qualified nurses who had successfully completed a diploma or degree from one of the universities; a response rate of 77% representing 49% of all graduating students in the study population.
Data were collected by self-completed semi-structured questionnaires administered to students at the time of qualification and at three months post-qualification. Routinely collected data from the universities were also collected.
Fifty two percent of participants had been offered a job at the point of qualification (85% of those who had applied and been interviewed). Of these, 99% had been offered a nursing post, 88% in the city studied, 67% in the healthcare setting where they had completed a course placement. 44% felt “confident” and 32% “very confident” about their employment prospects. Predictors of employment success included ethnicity, specialty of nursing and university attended. Predictors of confidence and preparedness for job seeking included ethnicity, nursing specialty, gender and grade of degree. Newly qualified nurses from non-White/British ethnic groups were less likely to get a job and feel confident about and prepared for job seeking.
This study has demonstrated that ethnicity does lead to employment disadvantage for newly qualified nurses. This is an important contribution towards recognizing and describing the evidence so that appropriate responses and interventions can be developed. It is important that universities and healthcare institutions work closely together to support students at this important time in their nursing career.
Panton-Valentine leukocidin Staphylococcus causing fatal necrotising pneumonia in a young boy
Shahzad Haider, David Wright
Department of Paediatrics, Macclesﬁeld District General Hospital, Macclesﬁeld, UK
Panton-Valentine leukocidin (PVL) toxin producing strains of Staphylococcus aureus are known to cause skin and soft tissue infection. They can also cause necrotising pneumonia in otherwise healthy individuals. Here we report a case of severe, necrotising, haemorrhagic pneumonia in a 12-year-old boy who presented with a four-day history of a sore throat and fever. During his admission he deteriorated and needed full ventilatory support but despite all efforts he died. Postmortem examination lung swabs conﬁrmed the presence of PVL-associated S aureus. There is a need to improve awareness of this disease among medical practitioners as early diagnosis and appropriate management can save lives.
Published in HSJ Local
East Cheshire Trust spent £4.3m on agency staff in the first eight months of this financial year – and if it continues this trend will have spent considerably more this year than last. The trust has already made the decision to invest in increased staffing on wards to provider better patient care and improve quality and continuity of care, the board heard.
Its increased spending is against of other North West trusts managing to reduce their agency spend. More than half East Cheshire’s temporary staff are nurses and spend on agency staff is considerably larger than spend on bank staff.