News from NICE: Renewed vigilance of handwashing

infectionNHS must renew hygiene efforts to tackle ‘unacceptable and avoidable’ infection rates

Healthcare professionals should wash their hands before and after seeing every patient to help prevent the spread of infections such as MRSA and C difficile in the NHS. One in 16 people being treated on the NHS picks up an infection. As a result, more NHS resources are consumed and the affected patients are at increased risk.

See the latest NICE quality standard which contains six statements designed to reduce infection rates, including a statement recommending that patients should be looked after by healthcare workers who always clean their hands thoroughly, both immediately before and immediately after contact or care.

 

The implications of the Francis report (Obstetrics, Gynaecology & Reproductive Medicine)

The implications of the Francis report
PD Simpson, EP Morris – Obstetrics, Gynaecology & Reproductive Medicine, 2014

of inadequate staff numbers and poor training as well as a lack of leadership and poor The report’s conclusion was that ‘All NHS Trusts and Foundation trusts responsible for the provision of It was published in February 2013 and has had a significant impact on the health

Abstract
The failings seen at the Mid Staffordshire NHS trust have been thoroughly investigated by an independent inquiry and a public inquiry, both chaired by Robert Francis QC. The report into the failings of the healthcare governance system was published in February 2013. This review article explores the content of the ‘Francis report’ and aims to highlight the implications it has on practice within Obstetrics & Gynaecology, in particular, how the lessons learnt fit into the strategic plan set out by the Royal College. The events at Mid Staffordshire have had far reaching consequences within the NHS and we must all consider what our speciality must do to ensure an appropriate response.

This article is available through inter-libraryloan

Nursing leadership and service quality articles

The following articles have recently been published. We do not subscribe to all of them but they can be ordered via our inter-library loan scheme for a small charge.  Subscribed publishers are accessible through an Athens login.

Leadershipsupport for ward managers in acute mental health inpatient settings: Gwen Bonner and Sue McLaughlin report on a study into the tensions inherent in the …

G Bonner, S McLaughlin – Nursing Management, 2014

They have fewer opportunities to provide the role modelling and senior clinical leadership required to support a recovery-focused environment. The inquiry led by Robert Francis (2013) into poor care at the Mid Staffordshire NHS Foundation Trust has provided serious

The Nurse’s Survival Guide–A Simple ABC
B Ryan – Nursing Management, 2014

director of nursing at NHS City and Hackney, London, Mary Clarke asked how we could address the lack of BME leadership in the
West M, Dawson J (2011) NHS Staff Management and Health Service Quality.

Health service plays it safe: A plan to increase transparency and improve patient safety has been welcomed by nurses–but front line staff need confidence to change …
N Triggle – Nursing Management, 2014

was launched in 2008 with the goal of making the trust the ‘safest in the NHS‘. Connecting senior leadership with front line staff was prioritised, which has led to weekly ‘safety walk which detail the six interventions they need and whether they have had them (PHSO 2013).

Patient Safety and Managing Risk in Nursing
K Grocott – Nursing Management, 2014

director of nursing at NHS City and Hackney, London, Mary Clarke asked how we could address the lack of BME leadership in the
West M, Dawson J (2011) NHS Staff Management and Health Service Quality.

An analysis of National Health Service Trust websites on the occupational backgrounds of ‘Non-Executive Directors’ on England’s Acute Trusts
C Pritchard, AJE Harding – JRSM Open, 2014

With a predominance of Chairs and NED without health or social care leadership experience, are current Boards equipped to avoid inadvertently ‘doing the system’s business’ (Francis, 2013) rather than developing a more patient-centred, clinically led and integrated NHS?

Developing advanced nursing skills for frail older people: An ageing population with complex needs means there is scope for a post that will sit between medicine and …
S Goldberg, J Cooper, C Russell – Nursing Older People, 2014

are unable to fill posts (Royal College of Nursing (RCN) 2013), which compounds involved in leadership, teaching, research and service development (National Leadership and Innovation … Training Nottingham University Hospitals NHS Trust is piloting the innovative new role of

[HTML] The friends and family test: a qualitative study of concerns that influence the willingness of English National Health Service staff to recommend their organisation
M Dixon-Woods, JT Minion, L McKee, J Willars… – Journal of the Royal Society …, 2014

… In 2013, the most recent year for which data are available, the proportion of staff 12,33 All of these efforts will require high-quality leadership, engagement with staff and excellent We therefore
have some confidence that our findings reflect shared concerns of many NHS staff.

Watching closely? Lindsay Etherington asks whether nurses can do more to improve the detection of acutely deteriorating patients
L Etherington – Nursing Management, 2014

The government’s response to the inquiry by Robert Francis that examined care at Mid Staffordshire NHS Foundation Trust reiterates the need for effective leadership in assuring good quality patient care (Department of Health 2013).

Hyperacute stroke care and NHS England’s business plan
T Monks, M Pitt, K Stein, MA James – BMJ: British Medical Journal, 2014

1 National Institute for Health Research Collaboration in Leadership and Applied Health Research and NHS England aims to develop the case for major reconfigurations in two further Improvements have continued, with 2013 audit data for London reporting a thrombolysis rate

 

Website to watch

primarycare_protocolsFor staff working in primary care a website called PRIMARY CARE PROTOCOLS may be of interest.

It’s target audience includes practice managers, district nurse teams, clinic nurses, GPs – anyone involved in governance and setting protocols.

Extract from the site  

“Primary Care Protocols is a website which aids collaborative development of protocols to aid managers and clinicians working within the NHS. By using an innovative approach we are able to allow our users to collaborate in an online environment to work together to develop gold standard protocols.”

Some recent protocols include:

For more information please visit Primary Care Protocols