• News and Updates

    Please visit our 'blog' page for latest news and updates.

    For further information please see attached 'News and Views'

    June 2011

    November 2011

    January 2012

  • Transforming Services and Delivering Results through Person Centred Care

    Anne Foss-Durant, Director of Caring Science Innovations, Kaiser Permanente in North California has presented her inspring work on two occasions in Scotland.  Anne led the transformation of their organisations approach to "Caring", which resulted in significantly improved healthcare experience for both healthcare service users and the staff who care for them.  A video of this workshop from the NHS Event can be viewed here.   You can view Anne presentation at the Exploring Person Centred Event in Dunblane on 30th August 2011 and her view her personal responses to attendees question on postcards.

  • Exploring Person Centred Care in Practice - The Story

    What does person Centred Care mean to you?  Tell us in our discussion area and see what a group of NHS staff thought at a day that explored the Story of Person Centred Care. Amongst many issues they highlighted was the importance of the human dynamics of care, not just at the point of care but also the way we treat each other at the team and organisational level.  The report is easy to read, inspiring and provides a starting point for a conversation celebrating strengths and areas for consideration of development in terms of what you can expect from others and what other expect from you.  

  • The NMAHP contribution to quality

    The Healthcare Quality Strategy for NHS Scotland sets out three Quality Ambitions, which incorporate the six dimensions of healthcare quality, and will act as the focus for priority action for all healthcare services. Nurses, midwives and allied health professionals (NMAHPs) make up around 72% of the clinical work force and are central to delivering high quality direct clinical care throughout the patient’s journey and at every age and stage of life.

    The NHSS Healthcare Quality Strategy aims to build upon quality healthcare services in Scotland and ensure all work is integrated and aligned to the Quality Ambitions with measurable improvements, which include patients’ experience, to deliver the highest quality healthcare services to people in Scotland and in doing so provide recognised world leading quality healthcare services. NMAHPs are already undertaking a number of significant initiatives to increase their contribution to quality and are committed to seeking out new opportunities, in partnership with the wider multidisciplinary and multiagency team.

    NMAHP professional leadership and its contribution to the Quality Ambitions has been articulated in the Joint Declaration by Scotland’s Chief Nursing Officer, Chief Health Professions Officer and leaders of NMAHPs. The Declaration emphasises NMAHP professional leadership objectives and actions that focus on the Quality Ambitions and workforce issues. Its implementation will be achieved through revitalised professionalism alongside the NMAHP ethos of value based, person centred, and relationship based approaches to care delivery. The NMAHP contribution to quality will be driven forward by the NMAHP Quality Councils (Effective, Person Centred and Safe)  and support workstreams, working closely with the Quality Alliance Board and the four Delivery Groups, using a shared governance approach.

    The people of Scotland have told us that caring and compassionate staff and services is one of the most important aspects of their healthcare experience. Consequently a top priority for the NHS is to ensure that the way people are treated becomes as important as how quickly they are treated, and as a result make the quality of care it provides even better, through a person centre approach.  This will be supported through Care Governance, which is a vehicle to provide assurance of the quality of care given to people in order to: maximize their reponse to clinical interventions; to maintain health across their activities of living; or to live or die well in the absence of clinical or medical intervention.  Because this care is most often led by NMAHP staff, care governance is a vehicle by which NMAHPs can demonstrate proven leadership.

    More information can be found in the  Key Messages or Frequently Asked Questions below. 

  • Frequently Asked Questions

    • About this community space.

      • What is the purpose of the community space?

        To help communication, professional networking and active participation of NMAHPs and the wider community to influence the NMAHP contribution to quality.

      • How can I join?

        Anyone with an NHS Athens username can join.  Select the Join community option at the top of the page. If you do not have an NHS Athens Username,follow the link to Register and once you have received your username you will be able to join the community.  You can still view these pages if you are not a member but you will not be able to contribute to the discussions or blogs.

      • What are the benefits of joining?

        You can influence the NMAHP contribute to quality by sharing your views and adding to discussion topics.  You can access tools and techniques to strengthen professional practice.  You can share experiences of what has worked in your area and resources you have found useful. You can find out about the work of the NMAHP Quality Councils by receiving alerts when new content is added. 

      • What user guidance is available?

        You can access the user guide here.

    • About the NMAHP Quality Councils

      • How many NMAHP Quality Councils are there?

        There are three NMAHP Quality Councils and one Co-ordinating Council. Each NMAHP Quality Council focuses on one of the Quality Ambitions: safe; effective; or person centred healthcare services. The overarching Co-ordinating Council will ensure the work of the three NMAHP Quality Councils is harmonised and aligned with the Quality Ambitions. This Council will also co-ordinate the work of a number of Support Worksteams.

      • What role do the Councils have?

        The NMAHP Quality Councils will ensure existing and emerging NMAHP initiatives are aligned with the Quality Ambitions. They will inform and actively involve the NMAHP community and other stakeholders in their activities.

      • Can anyone become a member of these Councils?

        While is it not feasible for everyone to attend Council meetings, it is possible for anyone to contribute to the work of the Councils. The Councils will use shared governance principles.  The aim is to provide NHS staff with the opprtunity to lead and participate in decision making processess around the Quality Strategy.  It empowers staff to reflect their professional values in order to promote positive behaviours and practices. To support this, virtual and e-enabled approaches will be used for most communication and enagement activities.

      • How are Council Members and Chairs selected?

        Members of the NMAHP community were invited to submit a brief summary of their knowledge, skills and experience to the Chief Nursing Officer Directorate. Three people were selected and asked to chair one of the three NMAHP Quality Councils.   Allied Health Professional Directors Scotland Group was asked to nominated for the position of Vice Chair for each NMAHP Quality Council from suitably experienced AHP leaders.  Each NMAHP Quality Council includes a representative from each NHS Board. Other stakeholders have been invited to contribute their expertise. All Council members will actively seek ideas and views from the wider NMAHP community.

      • How do these Councils link with the Quality Alliance Board?

        The NMAHP Quality Councils mirror the structure of the Quality Alliance Board and Delivery Groups, with the exception of the Infrastructure Delivery Group.  The NMAHP Co-ordinating Council instead has a number of Support Workstreams that will support issues that impact on all the NMAHP Quality Councils. There is some common membership bewteen the Quality Alliance Board,the Delivery Groups and the NMAHP Quality Councils. Ros Moore, Chief Nursing Officer, is the Chair of the Co-ordinating Council and is also a member of the Quality Alliance Board. The Chair’s of the three Quality Councils are members of the relevant Quality Alliance Board Delivery Groups, and the Co-ordinating Council. The NMAHP Quality Councils will focus on implementation of initiatives where significant NMAHP leadership and input is required. These close working relationships will prevent duplication of activity and ensure alignment and wide involvement with relevant initiatives.

      • How do these Councils link with Care Governance?

        The NMAHP Quality Councils are the vehicles that will drive and co-ordinate the NMAHP contribution to quality nationally, whereas care governance is a vehicle for NHS Boards to provide assurance of the NMAHP contribution to quality, alongside other forms of governance. The Quality Councils will facilitate the introduction of care governance.

         

         

         

         

         

         

         

         

         

         

    • About Shared Governance

      • What is Shared Governance?

        Shared governance, sometimes known as shared leadership, is a principle that provides clinicians with opportunities to participate in decision making processes that impact on their practice and their ultimate goal to deliver high quality healthcare. It empowers them to reflect their professional values in order to promote positive behaviours and practices, for example, promoting care that reflects the needs of the individual.

      • Why do we need Shared Governance?

        The usual approach to this sort of work is to set up programme boards made up of key stakeholders responsible for setting and overseeing a programme of work delivered by a series of sub groups.  This can lead to a lack of ownership by those affected or problems of alignment with local work.  We also know that education, professional standards, and judgment are not the only determinants of professional practice. Nurses, midwives and allied health professionals have not always been empowered to fully exercise their clinical judgment for patient care, which according to evidence is a factor in job satisfaction and ultimately quality of care. As employees, they must structure their practice within resources and rules, set by their employers, often in the form of policies and procedures, which can have a profound effect on how they deliver healthcare. Using shared governance as an approach to the work of the Quality Councils will enable clinicians to influence and shape their contribution to quality according to their professional values.

      • How do the Quality Councils ensure Shared Governance?

        The shared governance approach being used to underpin the NMAHP Contribution to Quality is one in which a coordinating council will integrate decisions made by the three NMAHP Quality Councils (one each for safe, effective and person centred care), a number of  Support Workstreams. However, shared governance is more than a set of committees or councils.  The numbers, titles and arrangements of the councils are not as important as the people who contribute to their work. A major role of these councils will be to actively engage with the NMAHP community, both directly and through representatives from NHS Boards, to gather their expertise and knowledge to create policy, guidance and shape professional behaviours in order to enhance the NMAHP contribution to the quality of direct clinical care.

      • How do I let the councils know what I think?

        This community space will be used to get messages to and from the NMAHP Quality Councils to influence and shape their work. It will enable many to many communication, provide a convenient way of interacting and collaborating 24/7 from any location where there is a computer and internet access. It will provide easy access to information, some of which will be audio pod casts and videos. You can also find out who the Council Member for your NHS Board area is so you can contact them and share your ideas.

    • About Care Goverance

      • What is Care Governance?

        Care goverance relates to the governance of direct care delivery at a clinical operational level and is demonstrated through measures relating to the assurance of care quality, caring behaviours and associated outcomes.

      • Why do we need Care Goverance?

        The introduction of care governance is intended to address gaps in current forms of governance, particularly around person centred healthcare and service, and strengthening the connection between ‘point of care delivery’ and the requirement to report on quality to the Board. This is intended to address concerns that members of the public have sometimes expressed about the human dynamics of care and the fundementals of care.

      • How does it link to other forms of Governance?

        Many forms of Governance that impact on healthcare exist in the NHS. Most are systems of assurance, which through measurement, provide the public, professionals, managers and the government with assurance that their health services are achieving their intended goals. Care Governance seeks to strengthen the connection between all these forms of governance and address gaps.

      • What are the links between Shared Governance and Care Governance?

        Shared governance principles and approach will be used to support the development and implementation of care governance. Clinicians will be encouraged to influence decisions related to person centred aspects of care, healthcare services, the environment in which that takes place, and their professional development.

      • How can I find out more?

        This web resource will be kept up to date with Councils papers, news and discussions. If you can't find the information you want please contact us and we will answer your questions.

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