AAA nurses training: programme boards presentation September 2019

21 Oct 2019

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AAA nurses training: programme boards presentation September 2019

  1. Philippa Briggs Screening Quality Assurance Service Programme Boards
  2. AAAScreening Programme Boards 2 Programme Boards Do you regularly attend programme boards? Do you know your services performance against national standards and nurse assessment waiting times?
  3. Attending boards 3 Programme Boards • Observations indicate that it’s quite rare for nurses to physically attend all programme boards; - small teams - priority is nurse assessments/seeing patients - geography can be challenging However it’s important to understand the role of the programme board, why we have them and how you can contribute if and when required and what the outputs are
  4. Purpose of boards 4 Programme Boards Programme Boards are forums, for stakeholders, to maintain quality in National Screening Programmes. They ensure that standards, as detailed in the Section 7A National Service Specifications and the requirements of the NHS Public Health Function Agreement are met. Essentially a governance and oversight function as there are many organisations involved in screening……….but also a chance to present the good things services are doing and highlight the challenges that may be an issue.
  5. Organisations involved in screening 5 Programme Boards UK NSC Providers (NHS and private) Public Health PHE NHS England and NHS Improvement NHSD & NHSX
  6. Who goes to a programme board? Programme Boards are chaired by a member of the screening and immunisation team (SIT) – this may be the Lead (SIL), Manager (SIM) or Co- ordinator (SIC) From the service the Programme Co-ordinator/Manager and Clinical Lead attend. Nurse(s), CST(s), QA Lead(s) should also attend. Representative(s) from the providers management structure (department/divisional leads) Representative(s) from the Screening Quality Assurance Service Representative(s) from other organisations involved in the screening pathway Representative(s) from patient/public involvement Other stakeholders as necessary – Public Health/Local Authority etc Boards – (generally) are quarterly, mixture of face to face and via tel-con 6 Programme Boards
  7. What type of things get discussed at a programme board? The board has oversight of quality and the continuous improvement of the programme to: • Support the reduction of health inequalities and inequity relating to the programme’s local population. • Monitor and review exceptions in programme performance against nationally and locally agreed quality standards. • Track service delivery against the current National Service Specification, responding to any gaps or changes, and monitor completion of agreed continuous improvement and remedial action plans as appropriate. • Review of the programme risk register and mitigating actions. 7 Programme Boards
  8. What type of things get discussed at a programme board? cont • Review and share learning of incidents and root cause analysis investigations and formally close screening incidents. • Review progress and record closure of Quality Assurance visit recommendations and programme audits • Monitor the provider’s workforce, training and equipment – identifying and responding to any gaps and escalating through the Provider Trust’s and NHS England’s commissioning, contracting and finance process. where required. • Identify and propose strategic objectives for the delivery of screening services, future service development, redesign and improvement needs and priorities in response to local evidence and national directives. • Identify and share areas of emerging good practice 8 Programme Boards
  9. What takes up most of the time at a programme board? Discussions on performance against standards If there’s been an incident – what has happened/why/lessons learnt and what is in place to prevent re-occurrence If the service has had a Quality Assurance visit or is due to have one – what is required and how are actions progressing If there’s any risks – what they are, what the service is doing about them What work the service is doing around service improvement and addressing health inequalities Compliments/complaints received Sharing good practice and highlighting new guidance etc 9 Programme Boards
  10. What programme boards don’t do They don’t include discussions on financial or contractual implications – these discussions are usually held between contract teams. They don’t discuss individual (identified/named) performance issues and management. They don’t delve into outcomes from individual appraisals or discuss pay issues. Issues/concerns shouldn’t wait to be brought up at a board. 10 Programme Boards
  11. Example nursing contributions • Audits on access and uptake • Audits on reasons for non-attendance and /or declines • Audits on if face to face, are bp, weight, height etc available • Waiting times against national standards – how many men are offered an appointment within 12 weeks of initial scan? What exceptions are reported? • Workload trends • Patient satisfaction results 11 Programme Boards
  12. What can you do? What are the barriers to attending a programme board – generally time/resources/geography. Can any of these be removed so that you can attend? Key messages from boards should be fed back to teams via internal meetings, detailed minutes and action logs are always produced by the Screening and Immunisations Team. Make sure you are aware of what is being discussed and how your service is performing If you’ve done a piece of work or audit, you should be presenting the findings and actions at a programme board, especially if it’s surrounding service improvement 12 Programme Boards

Notes de l'éditeur

  1. Show of hands to ask who attends programme boards
  2. Note – this isn’t an exhaustive list, it’s just to give a general idea – there will be a standing agenda which details what gets discussed.
  3. Note – this isn’t an exhaustive list, it’s just to give a general idea – there will be a standing agenda which details what gets discussed.