Archive for Matron Mary’s Blog – Page 2

Staff worried at CQC’s Ofsted style rating system

Sunday, October 27th, 2013

I have left the day job for a week to wander around the country catching up with old colleagues, I’ve been listening hard! What do I hear?

The impending next wave of CQC inspections feature high in anxieties, the new ‘Ofsted’ style rating system and the change in approach coupled with intelligent monitoring   promises a very different experience for organizations.

Read CQC’s report on their next inspection phase

One large London Trust told told me ‘we are expecting our inspection soon and are a Trust in turnaround, we are anticipating 90 inspectors’

I heard what kept folk awake at night so let’s develop a sleep strategy for those of us who care so passionately for our patients experience.

  • Get from behind our desks
  • Walk around talk to patients and staff and listen hard
  • Take action and communicate well

SIMPLES! – Well Complex maybe but not Difficult

Sleep tight

Matron Mary

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Remember High Impact Interventions

Friday, October 25th, 2013

Winter approaches – NHS beware

We are all rightly implementing the recommendations from Francis, Keogh & Berwick, but as winter approaches lets not forget the disasters that were Stoke Mandeville and Maidstone and Tunbridge Wells and the suffering caused by clostridium Diffiicile.

Remember Saving Lives’ High Impact Interventions? Get real time assurance to reduce your Health Care Associated Infections

Click here to find all those HIIs 

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2nd CQC inspections announced

Friday, October 25th, 2013

The CQC hospital inspection programme enters its 2’nd phase of CQC inspections in January. Are you prepared and in possession of your internal and external assurance?

19 acute trusts are named today as the next trusts to be inspected using larger, expert teams that include professional and clinical staff and trained members of the public. These will be the first trusts to be given ratings by CQC.


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Integration Transformation Fund

Tuesday, October 22nd, 2013

As part of the government’s drive to provide better local efficiencies across services and a more co-ordinated experience of care for patients, a £3.8billion Integration Transformation Fund (ITF) will be made available in 2015/16 to support the integration of health and social care services locally.

In order to access this money local authorities and the local NHS will have to commit to joint commissioning, better data-sharing, seven-day working across health and social care services and the protection of social care services, and will require an accountable lead professional for packages of integrated care.

Whilst the ITF doesn’t come into full effect until 2015/16, areas must develop a plan by March 2014 that will set out how the pooled funding will be used and the ways in which national and local targets attached to performance-related monies will be set and met.

vHealth is working with Health & Wellbeing Boards, CCGs and social services to consider :

  • what the national expectations are for the ITF and how the fund will be distributed
  • how to identify areas that can deliver the best efficiency gains while protecting and improving services and patients’ experience
  • understanding the implications for existing services and how change might be managed
  • how to target resources to achieve the biggest impact and deliver the greatest benefits
  • ways of monitoring and assessing longer term impacts on services such as the impact on acute care and emergency services
  • building and maintaining effective working relationships across multiple partner organisations in order to ensure a joint approach to commissioning, assessments and care planning and agreement on the best use of resources
  • best practice and advice on risk-sharing models and developing robust contingency plans.


Some related information :   Integrating Health and Social Care March11

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What does CQC regulation mean to you ?

Saturday, September 28th, 2013

CQC regulation webinar.  How prepared would you be if the CQC came to you with an enforcement intervention?  Does the thought of  the CQC knocking at your door with an enforcement intervention keep you awake at night ? What are you doing to prevent it?

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Let vHealth assure you against the new standards  with a mock CQC inspection. Our senior clinicians understand the new regulations.

The HSJ is holding a free webinar on 17 Oct  13 to explore what CQC regulation means.

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Integration model in Canterbury is one NHS could follow

Friday, September 20th, 2013

Chris Ham’s excellent article on ‘Canterbury Tale: making a success of integrated care’ provides a model for developing integrated care at scale and pace.

The establishment of the £3.8bn Integration Transformation Fund in England means all parts of the country will be expected to develop plans for integrating health and social care.

Chris Ham covers a range of opinions, but just picking up on three :

1. The mantra that has guided these developments is that of “one system, one budget” ? even though there is, in reality, more than one funding source and several parts to the system. This served as a simple statement of the aspiration to move from fragmented care to integrated care, joining up services around the needs of the population.

2. The development of health pathways is a concrete example of how integration works. Pathways are local agreements or guidelines on how care should be provided, and are developed jointly by GPs and hospital specialists.

3. Canterbury has scrapped its version of payment by results and developing a collaborative form of contracting known as alliance contracting.

Ref: Quest for Integrated health and Social Care

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Make Integrated Care Happen at Scale and Pace – Top Tips

Wednesday, September 18th, 2013

The Kings Fund has issued some helpful top tips on making integrated care happen at scale and pace. Making Integrated Care Happen

Interesting how many of these tips can be aligned to the elements within the  NHS Change Model. However I feel that these top tips include very helpful addition to the NHS Change Model. This is the need to create time and space to develop understanding and new ways of working.

From practical experience of using the NHS Change Model to achieve rapid integrated care improvements, engaging staff is key to mobilisation. I fully agree it takes dedicated time to really ensure all levels of staff understand the new ways of working and their role within this to ensure sustainability.

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‘A New Start’ – CQC

Thursday, August 22nd, 2013

The CQC is changing how it regulates care services, with longer more thorough inspections planned.

The Care Quality Commission’s (CQC) consultation document A New Start implies a determination from the CQC to return to the more targeted scrutiny of its earlier incarnations, as well as to refine and improve its surveillance and inspection methods.

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Care Home conference 4 Sep 13

Tuesday, August 20th, 2013

Care Home Research Conference led by vHealth on behalf of North Thames DeNDRoN

Enrich conference

Wednesday, 4th September, 2013

9.30 am to 1.30 pm (Registration from 9 am)

Friends House, 173-177 Euston Road, London, Greater London NW1 2BJ

It is organised by the NHS National Institute for Health Research’s Dementia & Neurodegenerative Disease Research Network (DeNDRoN).

Lunch and refreshments will be provided

Speakers Include:

  • Professor Julienne Meyer, My home life Executive Director
  • Professor Angus Forbes, Clinical Chair in Diabetes Nursing at King’s College London

To register click here

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Welcome to Matron Mary’s blog – real-life stories discussing CQC inspections from our senior nurse. Read this blog and share her challenges, frustrations and top tips ……..

Read top tips from the wards, apply the latest guidance from CQC in your care home, hear about whole system integrated improvement programmes.

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