Nursing and Midwifery Strategy 2012 - 2015 

Nursing and Midwifery Strategy 2012 - 2015

Katherine Fenton, Chief NurseI am delighted to present the UCLH Nursing and Midwifery Strategy 2012 - 2015. Producing this has been the hard work of many nurses, midwives, healthcare professionals and patient and staff governors. Underpinning the whole strategy are the UCLH values of safety, kindness, teamwork and improving.

Both the NHS and the nursing and midwifery profession face some of the greatest challenges. By leading the way in standards of care, education and clinical research, and exemplifying the Trust's values and behaviours, it is my absolute belief that the care provided by UCLH nurses and midwives will be the best in the United Kingdom. This strategy sets the direction of how to achieve this.

Katherine Fenton, Chief Nurse

1. We know that care and outcomes for all patients are of a high quality

Nurses and midwives will:

  • consistently provide harm free care for all patients
  • deliver year on year improvements in all 'Care Thermometer' indicators
  • know the quality of care they or their team provides
  • embed quality improvement into everyday work culture
  • learn from others, share and celebrate local improvements in care
  • work with colleagues to ensure patient care is timely and effective.

Midwives will:

  • deliver high quality care which is safe and life enhancing.

2. Nurses and midwives are always caring,thoughtful and intelligent

Nurses and midwives will:

  • articulate and be role models for the UCLH values and behaviours
  • be nationally recognised for delivering the highest quality patient and maternity care
  • be recruited, appraised and developed based on the Trust's values
  • consistently provide real time and constructive feedback to team members and peers
  • develop and recognise excellence across our nursing and midwifery care assistants
  • excel at advocacy and accountability in delivering family centred care.

3. Patients and their families feel confident in their care, and have the best experience possible throughout their whole pathway of care

Nurses and midwives will:

  • ensure that no decisions about patients and families are made without their direct involvement
  • enable patients to feel confident in their care, 24 hours a day, seven days a week
  • ensure that patient experience feedback is in the top 10% of the national inpatient survey results for nursing and midwifery related questions
  • ensure that they are at the forefront of integrated care developments.

Midwives will:

  • empower women to remain independent, active partners in their maternity care.

4. Nurses and midwives are stewards of the NHS purse

They will ensure that:

  • the High Impact Actions are fully implemented
  • they engage in education about innovation and quality improvement science
  • all clinical nurse specialists, midwife specialists and consultant nurses and midwives deliver an improved patient experience with less patient time spent in the acute care setting
  • staffing levels and skill mix are planned according to the acuity and dependency of the patients being cared for
  • they recognise their personal accountability in driving up quality while reducing cost.

Midwives will:

  • ensure they work in partnership to maximise the quality of care for women.

5. Nurses and midwives have a structured, coherent clinical and/or academic post graduate pathway

They will:

  • know the clinical and academic pathway options available to them
  • be properly educated for the level of accountability and skill they need to be effective practitioners
  • have an accredited portfolio of education which recognises the importance of work-related learning, theoretical knowledge and research
  • ensure that theory and practice is closely aligned.

6. Research is alive in practice

Nurses and midwives will:

  • be part of the research strategy that develops the evidence base for nursing and midwifery practice and builds capability and capacity in research skills
  • consistently use the best evidence to improve the quality of patient care
  • access and contribute to programmes of research that deliver improvements in nursing and midwifery care and strengthen the standing of nurses and midwives within the multi-disciplinary team
  • participate in achieving the measurable targets to increase the number of nurses and midwives with masters degrees and PhDs undertaking research aligned to the biomedical research centre themes.

7. Matrons are influential and exemplify inspirational leadership at all levels

Matrons will:

  • act as the custodians of high quality care
  • be role models of exemplary professional standards for nurses and midwives
  • actively contribute to the operational and strategic success of the Trust
  • work across departmental and organisational boundaries to deliver excellence in patient care
  • access and successfully complete the leadership development and competency assessment.

8. The sister and charge nurse is a high profile, valued and effective role

Ward sisters, department sisters and charge nurses will:

  • increase the time spent in clinical leadership activity to at least 75% of their time
  • be known to all patients in the ward or department
  • be educated to masters level and accredited as a UCLP sister or charge nurse
  • be remunerated for excellent performance and innovation led co-ordination of care for patients.

Expectations of all UCLH nurses and midwives

As nurses and midwives we stand for…

  • Nursesthe highest quality patient care - delivered by nurses and midwives through knowledge, caring, empathy, skill and expertise
  • development of our profession through support, education and innovation
  • working together to be the best, leading the field, nationally and internationally with ambition and idealism
  • being central to delivering the division, boards and organisation's goals
  • stewards of NHS resources - part of our new professionalism.

Uniform standards for UCLH nurses and midwives

As UCLH staff we provide the first impression of the organisation and the type of care patients can expect. It is therefore paramount that all nurses and midwives are well presented, recognisable for what they do and professional in image.

  • Nurse in uniformUniforms should be clean, tidy and in good repair
  • No wrist watches
  • No bracelets (those of religious significance and medical alerts are worn at your manager's discretion)
  • No rings (except one wedding ring)
  • Stud-type earrings only
  • Necklaces and chains should not be visible
  • No nail polish or nail extensions
  • Name badges and Trust identity badges must both be worn, attached or pinned to uniform - no lanyards
  • Hair should be tidy and off the collar - long hair should be tied back with suitable, discreet fastenings
  • A badge of professional organisation, trade union, college or training school may be worn
  • Shoes should be flat (or low-heeled), black and with covered toes and heels - trainers may be worn, but must be plain and black leather effect (not suede or canvas)
  • Plain, dark coloured socks should be worn with tunic and trousers