1. High Quality Care for All: implications for nurses and nursing care David Foster Deputy Chief Nursing Officer Department of Health

3. “ we know that nursing and midwifery are fundamental to high quality healthcare. There is hardly an intervention, treatment or healthcare programme in which we do not play a significant part. This means we are in a powerful position to improve the quality of care across the NHS and play a major role in improving health outcomes “ Dame Christine Beasley CNO (2008) Nurses are pivotal ….

4. Ensuring Excellent Services for People High Quality Enabling staff to lead transformation Empowering communities to achieve best health outcomes

5. Nursing quality metrics National indicators – Few in number possibly :  Skin damage  Nutrition  Indwelling catheters  Compassion  Pain Local indicators – Many in number possibly:  Patient Safety Tool  Related to patient pathways  Patient outcome data  Patient complaints  Patient surveys  Brought together as clinical dashboards

6. Quality indicators framework Key purposes NQB Quality Report Regional quality measures Services from Quality Observatory Clinical Team quality measure and dashboards Example product Provider quality account National Regional Local Team Improvement against national priorities Accountability to taxpayers International benchmarking Improvement in quality within the region and progress against the regional vision Enable benchmarking Service improvement Board accountability Provider benchmarking Service improvement Team benchmarking for improvement Sources of evidence-based indicators include Royal Colleges, specialist societies, NHS Information Centre, universities, commercial sector Local clinical ownership of indicators Co-production at all levels of the system Subsidiarity Measurement and improvement

7. Assured Menu of Indicators Regional quality measures Essence of Care Tools to support nursing quality National Regional Local Team Local clinical ownership of indicators Co-production at all levels of the system Subsidiarity Individual Confidence in Caring Productive Ward series

9. Quality on the leadership agenda ‘Clinical issues and patient care formed only 14% of board agenda items’ Higher clinical content on the board agenda shows a greater commitment to quality care Where topics are positioned on the board’s agenda is significant Whether its for information or discussion

10. National Quality Next Stage Review Nursing and Midwifery Advisory Board National Quality Board Commission on the Future of Nursing and Midwifery