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NHS Improvement Matron’s Handbook Launch Annesha Archyangelio Nursing Fellow Professional Leadership 2018/2019 & Deputy Director IPC West Herts Hospital January 29th 2020
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Introduction Presentation title
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The matron’s handbook Ruth May, Chief Nursing Officer for England
Hilary Garratt CBE, Deputy CNO for England, Professional and System Leadership Paul Reeves, Head of Nursing for Education & New Roles NHSE/I Annesha Archyangelio, Nurse Fellow Professional Leadership NHSE/I 18/19, DIPC WHHT The matron’s handbook Matron’s Engagement Event #TeamCNO / Nursing Directorate Presentation title
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Background No recent publications to support matrons
Matron’s Charter & Key roles are almost 20 years old The role of the matrons is integral to high quality care Ward leaders handbook Executive nurse handbook Developmental framework for matron’s as part of wider approach to leadership development at NHSE/I
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Development of the Matron’s handbook
Annesha’s NHSE/ Nurse Fellow project 2018/19 Development of the Matron’s handbook Supported by colleagues in the NHSI & NHSE Nursing Directorate / #TeamCNO, matrons, national stakeholders Matron’s key role by consultation with matrons’ nationally Consultation on the matrons’ handbook by experts Presentation title
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Nurse Fellow Programme
Development opportunity at NHSE/I Integral part of national nursing team Focus on a specific piece of work Time and space to focus on own professional and personal development Projects have included Matron’s handbook Frailty Digital Leadership End of Life Care Dementia Ward leaders handbook Burdett Trust shadowing research Nurse Fellow
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Why the development of the Matron’s handbook?
Background to the handbook Nurse Fellow Programme Why do we need a handbook Purpose of the handbook Creating the content How the handbook can be used Aspiring matrons Current matrons Directors of Nursing / Chief Nurses NHS Improvement
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Purpose of the matron’s handbook
Support professional and personal development Need to encourage nurses to take up this role Vital to high quality care Support to this role has an impact on the future of senior nurse leadership Looks beyond the clinical skills required
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Process of Development of the Matron’s Handbook
National visits, stakeholders meetings and collaboration I have undertaken: Ruth May, Chief Nursing Officer for England Hilary Garrett, Deputy Chief Nursing Officer for England Paul Reeves, Head of Nursing for Education and New Roles NHS Improvement Dr Jacqueline McKenna MBE, Former Director of Nursing, NHS Improvement Dr Liz Westcott, Department Head Nursing, Oxford Brookes University Dr Judith Enterkin, Associate Professor – Leadership, London South Bank University Dr Natasha Phillips RN, Chief Nursing Informatics Officer, University College London Hospitals NHS Foundation Trust Dame Eileen Sills DBE, Chief Nurse and Director of Patient Experience and Infection Control, Guy's and St Thomas' NHS Foundation Trust Flo Panel-Coates Chief Nurse, University College London Hospitals NHS Foundation Trust Rosemary Chable, Deputy Chief Nurse, University Hospital Southampton NHS Foundation Trust Sue Tranka, Chief Nurse, Ashford and St Peter's Hospitals NHS Foundation Trust Antonio Lynch, Director of Nursing/Deputy Chief Nurse, Guy's and St Thomas' NHS Foundation Trust Jane Robinson, Clinical Improvement Project Lead, NHS Improvement The Queen Elizabeth Hospital NHS Foundation Trust King's Lynn University College London Hospitals NHS Foundation Trust Norfolk and Norwich University Hospital NHS Foundation Trust
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Process of Development of the Matron’s Handbook
National visits, stakeholders meetings and collaboration I have undertaken University Hospital Southampton NHS Foundation Trust Ashford and St Peter's Hospitals NHS Foundation Trust St. Georges University Hospital NHS Foundation Trust Guy's and St Thomas' NHS Foundation Trust West Hertfordshire Hospitals NHS Trust NHS Wales / The Welsh Government Aneurin Bevan Health Board Wales The NHS Long-Term plan The Queen’s Nursing Institute Royal Colleague of Nursing NHS Leadership Academy Health Education England Oxford Brookes University Public Health England The Kings Fund NHS England
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Matron’s Engagement & Development Events
Birmingham –April 3rd 2019 Manchester – May 22nd 2019 Bristol – May 29th 2019 Over 300 matrons attended #MatronNetwork #TeamCNO_
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Matron Development & Engagement Event Agenda
The Matron’s Role: Ruth May / #TeamCNO The role of the modern matron – Dr. April’s research findings Future Nurse: Standards of Proficiency for RN’s NMC: Nursing registration Nursing Associates Workforce Image of Nursing Clinical Leadership and CQC Well-Led Quality Improvement: Criteria Led Discharge World Café: development of the matrons handbook
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The Old Matron’s 10 key responsibilities 1. Leading by example 2
The Old Matron’s 10 key responsibilities 1. Leading by example 2. Making sure patients get quality care 3. Ensuring patients nutritional needs are met 4. Improving wards for patients 5. Making sure patients are treated with respect 6. Improving hospital cleanliness 7. Preventing hospital-acquired infection 8. Ensuring staffing is appropriate to patient needs 9. Empowering nurses to take on a wider range of clinical tasks 10. Resolving problems for patients and their relatives by building closer relationships
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Current focus on the Matron’s role
Quality improvement in the delivery of harm-free care Assurance and accountability across a range of services Staffing and workforce delivery improvement Finance and budgeting and allocation of resources Performance monitoring Patient flow and site performance Patient safety and incident management Enhanced communication skills Managing challenging behaviour Delivering diversity in the workforce Nurse leadership and strategic development Teams development
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The new matron’s key roles
1. Inclusive leadership, professional standards and accountability 2. Governance, patient safety and quality 3. Workforce planning and resource management 4. Patient experience and reducing health inequalities 5. Performance and operational oversight 6. Digital and information technology 7. Education, training and development 8. Research and development 9. Collaborative working and clinical effectiveness 10. Service improvement and transformation
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1. Inclusive leadership, professional standards and accountability
Visible and providing an authoritative presence Using strategic thinking Compassionate inclusive leadership Clinical and professional credibility Presentation title
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2. Governance, patient safety and quality
Audit and monitoring Quality and safety performance Patient safety Presentation title
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3. Workforce planning and resource management
Staffing is appropriate to meet patient needs Trust retention plan key themes Retention Resources New roles Building a diverse workforce Enabling staff development that is equitable Presentation title
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4. Patient experience and reducing health inequalities
Model good engagement with patients, carers and families Continuous improvement of patient experience and ensure positive outcomes The matron’s role in end-of-life care Patient experience tools Presentation title
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5. Performance and operational oversight
Monitoring quality and safety Operational performance in line with the accountability framework, CQC KLOE Improving flow through the emergency care pathway Financial stability, budget and business planning Presentation title
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6. Digital and information technology
Technology to support day-to-day duties Digital-ready workforce Royal College of Nursing’s campaign Every nurse an e-nurse Leading on ways to support local care providers NHS England and NHS Improvement, NHSX, NHS Digital Department of Health and Social Care Presentation title
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7. Education, training and development
Self-development for matrons Staff development Resources for matrons The King’s Fund leadership development courses RCN resources on professional development RCN resources on leadership for inclusion NMC Future Education Standards Presentation title
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8. Research and development
Research for patient benefit Clinical academic career through a research portfolio To advance evidence-based practice Catalyst for innovative practice and drive change Improving clinical outcomes for patients The National Institute for Health Research (NIHR) UK Clinical Research Network (UKCRN) High quality clinical research Transforming care through technology – a toolkit for new models of outpatient care Presentation title
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9. Collaborative working and clinical effectiveness
Delivering effective clinical care Monitoring clinical effectiveness Presentation title
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10. Service improvement and transformation
Empowering staff to take on wider ranges of clinical tasks Improving service quality, efficiency and morale Quality improvement QI topic Benefits Criteria-led discharge/ home first Increased weekend discharges End-of-life care Improves the outcomes for end of life care for patients Frailty Identifying and managing frailty for early intervention Presentation title
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The matron’s developmental framework and competencies
Assess and rate yourselves against the competencies and actions in the table After identifying specific developmental needs Complete the actions based on the 10 key roles to fulfil your developmental needs Signing off those where competence is already evident Presentation title
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Support is available for matrons
Matron’s handbook - The new matron’s key roles RCN leadership hub NMC standards, Fitness to Practise guidance etc… NHSI staff deployment resources NHSI provider bulletin CNO bulletin Professional support from your HoN/Lead Nurse/Chief Nurse Mentoring and coaching Shadowing and secondments Matron’s Charter Conferences, events, collaboratives Presentation title
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How you can use the handbook
For general interest and reading To help prepare for a new role To support your own professional development To support the professional development of an aspiring matron To ask your senior management team how they can support you and your peers Using the competences to sign-off your achievement in your role How you can use the handbook
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Next Steps for the Matron’s Handbook
Publication of the handbook Launch and implementation of the handbook through 5 conferences Distribute copies
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Email: A.Archyangelio@nhs.net Twitter: @AArchysha @MatronNetwork
Contact: Annesha Archyangelio, Nursing Fellow Professional Leadership 2018/2019 & Deputy Director IPC West Herts Hospital @MatronNetwork
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