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Leading Better Care - Delivering for Patients

Leading Better Care enables Senior Charge Nurses / Midwives and Team Leaders to deliver better care in consistent, measurable, evidence based way

To achieve this vision, the following aims and objectives have been agreed:

LBC Aims

  • All Senior Charge Nurses, Senior Charge Midwives and Team Leaders will be working in the context of the LBC components:
  • To ensure safe and effective clinical practice
  • To enhance the patients experience
  • To manage and develop the performance of the team
  • To ensure effective contribution to the delivery of the organisations objectives

by March 2013 and able to demonstrate this.

  • Nurses & Midwives will be able to demonstrate  the contribution they make to the quality and experience of care that patients receive under the three themes by March 2013:
  • Safe
  • Effective
  • Person centred
Model derived from the Institute of Medicine's 6 Dimensions of Quality (http://www.iom.edu )

Healthcare Quality Strategy for NHSScotland

Vision

The ultimate aim of the Quality Strategy is to deliver the highest quality healthcare services to people in Scotland and through this to ensure that NHSScotland is recognised by the people of Scotland as amongst the best in the world.

The strategy was built around these priorities:

  • Caring and compassionate staff and services;
  • Clear communication and explanation about conditions and treatment;
  • Effective collaboration between clinicians, patients and others;
  • A clean and safe care environment;
  • Continuity of care; and
  • Clinical excellence.

  • Quality Strategy

    There are three quality ambitions:

    • Person-centred: Mutually beneficial partnerships between patients, their families and those delivering healthcare services which respect individual needs and values and which demonstrate compassion, continuity, clear communication and shared decision-making. Find out more.
    • Safe: There will be no avoidable injury or harm to people from healthcare they receive, and an appropriate, clean and safe environment will be provided for the delivery of healthcare services at all times. Find out more.
    • Effective: The most appropriate treatments, interventions, support and services will be provided at the right time to everyone who will benefit, and wasteful or harmful variation will be eradicated. Find out more.

    The Institute of Medicine’s six dimensions of quality are central to our approach to systems-based healthcare quality improvement:

    • Person-centred: providing care that is responsive to individual personal preferences, needs and values and assuring that patient values guide all clinical decisions;
    • Safe: avoiding injuries to patients from healthcare that is intended to help them;
    • Effective: providing services based on scientific knowledge;
    • Efficient: avoiding waste, including waste of equipment, supplies, ideas, and energy;
    • Equitable: providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location or socio-economic status; and
    • Timely: reducing waits and sometimes harmful delays for both those who receive care and those who give care.

    Quality Measurement Framework

    The Quality Measurement Framework provides a structure for aligning the wide range of measurement that goes on across the NHS in Scotland for different purposes, describing how measurement helps to drive progress towards our Quality Ambitions and providing us with the ability to demonstrate improvement both locally and nationally.The three levels described by the framework provide a simplified structure for thinking about the intended use of sets of indicators. In summary:

    Level 1 - Quality Outcome Indicators

    The Quality Outcome Indicators (QOIs) are used for national reporting on longer term progress towards the Quality Ambitions and the Quality Outcomes. These are intended as indicators of quality, and will not have associated targets. It is expected that most Quality Outcome Indicators will be disaggregated geographically, and by equality groups, where possible, and appropriate.

    Level 2 - HEAT Targets

    Level 2 contains the HEAT targets, which describe the specific and short term priority areas for targeted action in support of the Quality Outcomes. These will be further aligned with the Quality Ambitions over time.

    Level 3

    Level 3 contains all other indicators/measures required for quality improvement and performance management and reporting, either by national programmes or locally.

    • Staff, patients and public are confident that their NHS is reliably and consistently safe, effective and responsive to their needs.
    • Everyone working in and with NHSScotland is confident that they will be supported to do what they came in to the NHS to do, and that they are valued for doing that.
    • To have a shared national pride in our NHS and a recognition that it is amongst the best in the world.