NIPEC Key Stakeholder Event

24 th August 2012 Council Room, Centre House, BELFAST

Welcome & Opening Remarks

Professor Carol Curran Chair

Introductions

Paula O’Kelly Facilitator, HSC Leadership Centre

Core Values

Paula O’Kelly Facilitator, HSC Leadership Centre

Our Work Streams, Outputs and Achievements

Frances Cannon Angela Drury Carole McKenna Senior Professional Officers

How does NIPEC do its work?

That.....

Impact!

Recording Care: Evidencing Safe and Effective Care

Angela Drury Senior Professional Officer

Strategic Drivers

• • • •

Regulatory requirements – NMC FtP hearings Specific elements of record keeping practice were highlighted by nurses as potentially benefiting from learning and development activities Record keeping was identified as needing improvement in recommendations of Public Inquiries in Northern Ireland (2003 – 2011) Nurse record keeping was identified as requiring improvement through Trust complaints analysis

Aim:

To implement an agreed Regional HSC Nursing Assessment and Plan of Care Document, and improvement methodologies, tools and resources to facilitate improvement in the standard of nurse record keeping in Northern Ireland and to promote a culture which supports person-centred record keeping practice.

Partners Steering Group Chaired by Alan Corry-Finn Executive-Director Nursing WHSCT: stakeholders include HSC Trusts, PHA, DHSSPS, RCN, RCM, HEIs, CEC, input from PCC.

• • • •

HSC Trusts: Charlotte McArdle, Ex. Dir. Nursing, SEHSCT Assistant/Co-Directors Governance/Lead Nurses Ward Teams –Ward Sisters/Charge Nurses and wider nursing teams

•

NIPEC: Angela Drury

Donna Mills SEHSCT Sandra Hogg WHSCT Siobhan Shannon NHSCT Sonya McVeigh BHSCT Paula Boyle SHSCT

• • • • •

Approach Two strands Facilitated within HSC Trusts (5 seconded Band 7 Professional Officers – one in each Trust) Strand 1: Piloting and evaluating a new document and development of regional standards for nurse record keeping Strand 2: Implementing and evaluating improvement tools and resources Evaluation of the role of the Professional Officers

Record Keeping Guidance Reflection Supervision Record Keeping Website Practice Improvement Programme Competence to Record Recording Care at the Bedside Online Record Keeping Audit Tool

Outcomes

• • • •

Intended outcomes:

–

Improved safe and effective, person centred record keeping practice evidenced through improved audit scores

–

Improved reported patient experience through enhanced communication and care partnerships Sustained change Standards –in discussion with RCN UK Future work:

– –

Care Planning Regional Nursing Abbreviations Policy

Regional Ward Sister/Charge Nurse and Team Leader Projects

Carole McKenna Senior Professional Officer

Strategic Drivers WS/CN Project TL Project

• • • • • Leading Care Report EDONs and DHSSPS Public’s faith in the roles Reports and Inquiries Succession planning • • • • • Shift to Community Care Multi-professional teams McKinsey ( 2010) Productivity & Quality Quality 20:20 Compton Review – TYC • • NMC Regulation KSF (DH,2004)

Aim

To clarify, support and strengthen the role so that frontline staff are enabled to: • • • • • Ensure the delivery of safe and effective care Promote the development of a person-centred culture Improve and enhance the patient/client experience Manage and develop the performance of the team Participate in the delivery of the organisation’s objectives through the effective management of resources

Partners

• • • • • • • • Commissioned by DHSSPS Regional Steering Group - Chaired by EDON Working Group – Chaired by AD Nursing/Project Lead HSC Trust ADs of Nursing PHA Education Providers Professional/Union RCN, RCM, CPHVA, Unison Human Resources

Project/Professional Officers Ward Sister/Charge Nurse Project Team Leader Project Siobhan Donaghy (SHSCT) Meg Rodgers (NHSCT) Amanda McGimpsey (SEHSCT) Bernie Marlow (WHSCT) Deirdre McKillen (SHSCT) Margaret McLeese (SEHSCT

)

Aisling Pelan (BHSCT) Annetta Quigley (WHSCT)

Approach

• • • • • • Facilitated project management Working Group - expertise to inform and develop products HSC Trust Project/Professional Officers Evaluation of project Report to CNO Launch at NIPEC Conference

Leading Care & Leading Teams: Outcomes/Resources Competence Assessment Tool Job Description & KSF Post Outline Career Progression and Guidance Career Progression Pathway Ward Sisters/Charge Nurses & Team Leaders Guidance with a L&D Framework Final Report & Website

Further Work

•

Leading Teams

–

Implementation phase http://www.nipec.hscni.net/cw_leadingteams.html

•

Ward Sister/Charge Nurse

–

Evaluation http://www.nipec.hscni.net/cw_wsimplementation.htm

•

Align the products and website

Maternity Support Worker Role

Frances Cannon Senior Professional Officer

Strategic Drivers

• • • • • • Increased birth rate Increased maternal expectations Ageing profile of the Midwifery workforce Review of Skill Mix in Maternity Services in NI (DHSSPS, 2008) Policy reports (Midwifery 2020, DoH 2010) 2009/10 Priorities for Action

Review of Skill Mix in Maternity Services in NI (DHSSPS, 2008)

• • • There should be a regional and consistent approach to skill mix in maternity services Develop a Maternity Support Worker Job Description Develop a Maternity Support Worker Education Programme

Approach

NIPEC convened a Steering group consisting of

DHSSPS HSC Trusts, QUB, QCF, CEC, to:

• • Develop a regional generic job description for Band 3 Maternity Support Worker Develop a regional training programme for Band 3 Maternity Support Workers

Outcome

Review of the Impact of the Maternity Support Worker Role

Functions, Form and Governance

Glynis Henry Chief Executive Edmund Thom Head of Corporate Services

Functions, Form and Governance

Legislation

NIPEC was established in 2002 under the Health and Personal Social Services Act as a NDPB, sponsored by the DHSSPS. The Act(*) identifies the following responsibilities for NIPEC: (2)

“It shall be the duty of the Council to promote (a) high standards of practice among nurses and midwives; (b) high standards in the education and training of nurses and midwives; and (c) the professional development of nurses and midwives.

(3) Without prejudice to the generality of subsection (2) the Council may (a) provide guidance on best practice for nurses and midwives; and (b) provide advice and information on matters relating to nursing and midwifery.

(4) The Council shall, in the exercise of its functions, act (a) in accordance with any directions given to it by the Department; and (b) under the general guidance of the Department.”

(*)Health & Personal Social Services (2002 Act) (Commencement) Order (Northern Ireland) 2002 refers, SR 2002 No.311 (C.25)

Functions, Form and Governance

Northern Ireland Health & Social Care Trusts Independent Sector Voluntary Sector Public Health Agency Chief Executive Professional Team Corporate & Support Team Business Services Organisation National, Professional & Regulatory Organisations Trade Unions Education Providers

DHSSPS

Permanent Secretary Chief Nursing Officer

Functions, Form and Governance

NIPEC – Council

Membership: Chair Executive Member –

Chief Executive

Professional Members – 8 Lay Members – 6 Ex-Offico Member –

Chief Nursing Officer

Risk & Audit Committee Remuneration Committee

Functions, Form and Governance NIPEC COUNCIL SECONDMENTS:

•Ms Fiona Bradley (Professional Officer)

PROJECT RELATED

•HSC Trusts – Record Keeping Project.

•HSC Trusts – Team Leader Project.

CHIEF EXECUTIVE Mrs Glynis Henry Personal Assistant Mrs Deirdre Meleady Receptionist Mrs Rosemary McBride (0.57wte) Clerical Officer Mr. Lukasz Karpinski Senior Professional Officer Mrs Cathy McCusker Senior Professional Officer Ms Angela Drury Senior Professional Officer Ms. Brenda Devine (Secondment to DHSSPSNI ) Senior Professional Officer Ms Frances Cannon Senior Professional Officer Dr Carole McKenna (née McIlrath) Head of Corporate Services Mr Edmund Thom Librarian Mrs Susan Ekin (0.5 wte) IT & Information Officer Mr Mark Jamison IT Support Officer Ms Cassie Gowdy (Student Placement) Corporate Services Manager Mrs Janet Hall OUTSOURCED SERVICES

Finance, Equality & Disability,

Corporate Services Officer Mrs Muriel Lockhart Corporate Information Officer Mrs Julie Edgar Secretarial Team Mrs Lorraine Andrews (0.6 wte) Mrs Linda Woods Ms Marian McGahan Vacancy Catering Assistant Mrs Bernadette Delaney (0.54 wte) Domestic Support Mrs Ena Patton (0.41 wte)

Human Resources, Procurement, Legal & Internal Audit.

Functions, Form and Governance

(Included in pack) Risk & Audit Committee

• •

Membership: Professional Council Members – 2 Lay Council Members - 2

(

Note : Chair of council cannot be member of the Audit & Risk Committee

) • • • • • • •

In Attendance:

Chief Executive Head of Corporate Services External Auditor Northern Ireland Audit Office (NIAO) Internal Auditor Business Services Organisation (BSO), Finance Secretarial Support

Functions, Form and Governance

(Included in pack) Risk & Audit Committee

• Is an Advisory Body with no executive powers.

• Supports the Council and the Accounting Officer by reviewing the comprehensiveness of assurances, and by reviewing the reliability and integrity of those assurances.

• Is independent and objective.

Functions, Form and Governance

(Included in pack) Remuneration Committee

•

Membership: All the Council members (Chair, Professional & Lay members) with the exception of the four members who are on the Audit Committee.

Functions, Form and Governance

Governance at High Level

   

Council

NIPEC established under statute as a corporate body i.e. Separate legal entity Accountable to the DHSSPSNI for the manner in which :    It performs its duties Manages it assets Adherence to high standards of Public Administration.

Management Statement/ Financial Memorandum (Framework within which ALB operates) Finance of all HSC Bodies are subject to statutory review by the Comptroller & Auditor General for Northern Ireland on behalf of the Assembly.

Functions, Form and Governance

Governance at Organisational Level

       Accountability Review Meetings with DHSSPS Annual Report & Accounts Risk Management Control Assurance Standards Mid-Year Assurance Statements Efficiency Savings Others

Functions, Form and Governance

(Included in pack)

Accountability Review Meetings with DHSSPS

At least four meetings per year. Two chaired by the Permanent Secretary for DHSSPS (end-year and mid-year meetings) The agenda for these meetings is built around matters of performance and governance . It covers the following Governance domains:    

Corporate Quality Resources (Finance, HR, Estates) Service Delivery/Improvement



Other significant operational issues and risks

• •

Membership: DHSSPS -

Permanent Secretary, Director and Deputy Director of Human Resources, Chief Nursing Officer and a Nursing Officer, and Secretariat

NIPEC -

Chair, Chief Executive, and Head of Corporate Services.

Functions, Form and Governance

 

Annual Report & Accounts

 No qualification of Accounts within NIPEC’s history i.e. 2002/3 to 2011/12 Statement of Internal Control (SIC) Within the Accounts Key Targets to be achieved:

BREAKEVEN

+/ 0.25% of Revenue Resource Limited (RRL) or £20,000 which ever is the greater.

NIPEC 2011/12 = + 0.07% or £914 surplus of RRL PROMPT PAYMENTS of INVOICES

95% paid within 30 days

NIPEC - 2011/12 = 98.7% ANNUAL ABSENCE RATE

DHSSPS norm 5.2%

NIPEC - 2011/12 = 2.65%

Functions, Form and Governance Risk Management

NIPEC has two RISK Registers:

HIGH LEVEL ‘NIPEC Assurance Framework: Corporate Risks 2012/13’

• •

Governance:

- Financial break even.

Stakeholder Engagement:

stakeholders - Engagement and influence with • • • •

Governance: Governance: Governance:

- Service level agreement with BSO - Council membership Organisation’s future role and function

Safe and Effective Practice and Governance:

statutory responsibilities - Meeting

OPERATIONAL LEVEL

39 Risks categorised within the 11 areas of Corporate and Functional activities

Functions, Form and Governance Control Assurance Standards

 Introduced in 2003-04 to embed good risk management practice within the HSC bodies and provide evidence of effective control from board down  Also to underpin assurances provided to the Department, Assembly and public  Three ‘core’ standards: risk management, financial management, and governance, plus 19 other ‘operational’ standards  Review of Control Assurance Standards undertaken in 2008/09 by DHSSPS, in close consultation with HSC bodies via the Regional Governance Network, confirmed value of the system

Controls Assurance Standard Financial Management (C) Risk Management (C) Governance (C) Health & Safety Records Management Information & Communication Technology NIPEC Compliance % Rating

96 % 96 % 97 % 85 % 92%

Food Hygiene Three Additional Control Fire Safety Human Resources Management of Purchasing & Supply

89%

Assurances for 2011/12

94% 96% 93%

Indicator Table of Compliance 0 : Negligible 1-39 : Minimal

Compliance

40-74 : Moderate

Achieved

Substantive Substantive Substantive Substantive Substantive Substantive Substantive Substantive Substantive

Number of Criteria and Questions

12 Criteria with 59 Questions 8 Criteria with 81 Questions 7 Criteria with 62 Questions 24 Criteria with 120 Questions 6 Criteria with 36 Questions 19 Criteria with 85 Questions 14 Criteria with 61 Questions 16 Criteria with 52 Questions 18 Criteria with 80 Questions 14 Criteria with 56 Questions

75-99 : Substantive 100 : Full

Functions, Form and Governance Mid-Year Assurance Statements

 Introduced from the 2009/10 financial year onwards 

Purpose:

To obtain in-year assurance on the state of internal control within Arm’s Length Bodies (ALB), including confirmation that weaknesses identified in the end-of-year Statement on Internal Control are being overcome  Sponsor branches use them to inform the mid-year accountability reviews with ALBs

Functions, Form and Governance Efficiency Savings

Funds 2012/13 - RRL Staffing Costs Goods & Services Income £1,339,066 £880,667 £514,133 £55,734 = 65.8% = 38.4% = 4.2%

Cash releasing figures:

2008/09 to 2010/11 3% per year released .

Total of 9% or £128,000 2011/12 5% target or £68,645

Functions, Form and Governance Others

• IiP status successfully reviewed on 11 th further 3 years December 2011 for a • No Fraud cases suspected or otherwise identified against NIPEC • Monthly, Quarterly and Annual returns to DHSPSNI • Annual Progress Report to Equality Commission on Section 75 and DDO

What does the Future hold?

Paula O’Kelly Facilitator, HSC Leadership Centre

TEA / COFFEE BREAK

WE HOPE THAT YOU ARE ENJOYING THE EVENT SO FAR

Feedback and Summary

Paula O’Kelly Facilitator, HSC Leadership Centre

Next Steps / Closing Remarks

Glynis Henry Chief Executive

THANK YOU FOR ATTENDING OUR EVENT TODAY