Audit Risk Level: (Risk level will be added by EQIA steering group) Rapid Impact Assessment summary report Each of the numbered sections below must be completed Interim report Final report (Tick as appropriate) 1. Title of plan, policy or strategy being assessed. DARING TO BE GREAT : SENIOR NURSING AND MIDWIFERY DEVELOPMENT PROGRAMME 2. What will change as a result of this proposal? All Senior Nurses and Midwives 1 will have been brought together for a structured leadership programme and have the opportunity to benefit from The Advisory Board s Talent Development Programme and resources 2. This should strengthen a consistent approach to values-based leadership to deliver person-centred compassionate care There will be the opportunity to share knowledge of tools that can address organisational issues around key themes such as problem-solving, innovation, managing change, accountability, coaching, teamwork, managing disruptive behaviour and creating a vision. The evaluation data gathered from the programme includes reported behavioural change in practice, which will be obtained by participant s line managers. 3. Briefly describe public involvement in this proposal No direct involvement of patient or public representatives. Partnership Representatives are members of the 4. Date of RIA February 2014 1 Senior Nurses and Midwives are Chief Nurses/Midwife, Clinical Nurse/Midwifery Managers/Team Leaders and members of the Nursing Directorate circa 85. 2 The Advisory Board is a US based global research and consultancy organisation specialising in healthcare. It has 10+ years of teaching leadership in more than 100 NHS Trusts and over 2,000 healthcare organisations world-wide. Their teaching is based on best practice research from their network of international hospitals and health systems and has led to the development of 40+ healthcare specific leadership development modules. Participants on the DTBG Programme will have access to a research library of best practices, a healthcare specific leadership development curriculum, data and the supporting services of a dedicated advisor. 1
5. Who was present at the RIA? Identify facilitator and any partnership representative present Name Job Title Date of Email RIA training Sue Sloan Lead Sue.sloan@nhslothian.scot.nhs.uk Practitioner, Leadership. Juliet MacArthur Melanie Johnson Claire Smith Dawn Arundel Lynn Jackson Linda Rumbles Chief Nurse Research and Development. Executive Nurse Director Chief Nurse Critical Care/Theatres Clinical Nurse Manager, Edinburgh CHP Chief Nurse, Cancer, Rheumatology & Winter Planning RCN Steward / Partnership Rep Juliet.macarthur@nhslothian.scot.nhs.uk Melanie.johnson@nhslothian.scot.nhs.uk Claire.smith@nhslothian.scot.nhs.uk Dawn.arundel@nhslothian.scot.nhs.uk Lynn.jackson@nhslothian.scot.nhs.uk Linda.rumbles@nhslothian.scot.nhs.uk 6. Evidence available at the time of the RIA Evidence Available? Comments: what does the evidence tell you? Data on populations in need All Senior Nurses and Midwives working in NHS Lothian (85 participants) therefore covering all patient populations in acute and community services. Data on service N/A uptake/access Data on quality/outcomes Research/literature evidence Range of indicators are used within NHS Lothian- including Patient Quality Indicators (PQI), Charge Nurse Scorecard, Staff Survey all have the potential to be reviewed Advisory Board materials all based on extensive international health services research and best practice incorporated 2
Patient experience information Consultation and involvement findings Good practice guidelines Other (please specify) into written materials, workshops and activities. Discussed by participants in workshop activities and discussion group. This is a key focus of the programme. Steering Group developed programme outline in consultation with Advisory Board. Consultation with Nurse Director s Group and submission to Joint Management Team for approval in August 2013. Ongoing engagement with all participants including extensive preprogramme communication. Shared within programme each workshop includes a presentation from practice on aspect of good practice (examples include dementia care in acute hospital, care rounding and carer support) 7. Population groups considered Older people, children and young people Women, men and transgender people (include issues relating to pregnancy and maternity) Disabled people (includes physical disability, learning disability, sensory impairment, long term medical conditions, mental health problems) Minority ethnic people (includes Gypsy/Travellers, non-english speakers) Refugees & asylum seekers People with different religions or beliefs Lesbian, gay, bisexual and heterosexual people People who are unmarried, married or in a civil partnership People living in poverty / people of low income Homeless people People involved in the criminal justice system People with low literacy/numeracy Potential differential impacts No differential impact identified Chief Nurse and Clinical Manager with responsibility for homeless access point involved in programme Chief Nurse and Clinical Manager with responsibility for prison service involved in programme No differential impact identified 3
People in remote, rural and/or island locations Carers (including parents, especially lone parents; and elderly carers) Staff (including people with different work patterns e.g. part/full time, short term, job share, seasonal) OTHERS (PLEASE ADD): N/A No differential impact identified Equal opportunity for all nurses and midwives at this level in the organisation. JMT paper sought organisational support to ensure maximum participation in workshops and discussion groups. Dates planned for full 2 year programme in advance to support diary management. 8. What positive impacts were identified and which groups will they affect? Impacts Affected populations Equity of opportunity Senior Nurses and Networking amongst this group of senior nurses and midwives who do not have another forum like this to meet on regular basis Midwives as identified in Section 2 (footnote 1) Strengthening of values based leadership across the whole senior nursing/midwifery community 9. What negative impacts were identified and which groups will they affect? Impacts Affected populations None anticipated 10. What communications needs were identified? How will they be addressed? Regular communication with participants achieved through dedicated administrator and open access to Programme Lead (Sue Sloan, Lead Practitioner Leadership) Direct engagement with Advisory Board regular emails with programme content and evaluations to the participants Regular progress reviews and planning with Advisory Board representatives by Programme Lead to ensure programme delivery meets NHS Lothian objectives teleconference to USA plus email and meetings after each workshop delivery session. Regular communication with Discussion Group facilitators led by Programme Lead by email after each round of discussion groups including evaluation form which is then summarised and fed back to Steering Group for consideration. Meeting with the Advisory Board representative at the end of each workshop session to discuss plan for next Discussion Group to ensure consistent approach. 4
11. Additional Information and Evidence Required If further evidence is required, please note how it will be gathered. If appropriate, mark this report as interim and submit updated final report once further evidence has been gathered. 12. Recommendations Support the involvement of all Senior Nurses and Midwives (Band 8a and above) recognising that the Programme is being considered mandatory Ensure effective professional and management cover of clinical areas during master classes through securing local buy-in and advanced planning. 13. Specific to this RIA only, what actions have been, or will be, undertaken and by when? Please complete: Specific actions (as a result of the RIA) Who will take them forward (name and contact details) Deadline for progressing Review date 14. How will you monitor how this policy, plan or strategy affects different groups, including people with protected characteristics? There are ongoing discussions by the Programme Sponsor and Steering Group members to ensure that the all the Senior Nurses who should be involved in the programme are able to attend. There are no specific implications for people with protected characteristics in terms of participation. Manager s Name: Sue Sloan, Lead Practitioner Leadership Date: 2/02/2104 Please send a completed copy of the summary report to the Equality and Diversity Support Officer. Up to date contact details can be found on HR Online 5
Note that you will be contacted by a member of NHS Lothian s impact assessment group for quality control and/or monitoring purposes 6