1. The Context Clare Culpin Director of Nursing and Quality
Kettering General Hospital

2. The Butterfly Effect
A small change in one place in a complex system can have a large effect elsewhere
All aspects of the NHS system are connected together

3. 1.Individuals
Roles changing and adapting to the ever evolving needs of patients
Relationship with patients
Patient empowerment
Safeguard our vulnerable patients and be their voice
Patient expectations and demands
Responsibility and accountability
Healthcare professionals are a team
Engage and participate
Account for care and decisions
Revalidate registration

4. 2.Teams and organisations
Efficient and productive
Communicate and inform
Patient outcomes are monitored closely
Experience
Mortality
Harm
Teams are more diverse
New roles being introduced
Expert teams
Organisations are becoming more Clinically led

5. 3.Regional/National New structure Regulation Compliance
Performance monitoring
Partner organisations

6. 4.Modern workforce
Patients have a better chance of surviving on wards where more nurses have degrees
Staffing levels impact on patient care, experience and outcome
Multi skilled and flexible