NHS Improvement Matrons Handbook Launch Annesha Archyangelio Nursing

NHS Improvement Matron’s Handbook Launch Annesha Archyangelio Nursing Fellow Professional Leadership 2018/2019 & Deputy Director IPC West Herts Hospital January 29 th 2020 NHS England NHS Improvement

Introduction 3 | Presentation title

Ruth May, Chief Nursing Officer for England Hilary Garratt CBE, Deputy CNO for England, Professional and System Leadership Annesha Archyangelio, Nurse Fellow Professional Leadership NHSE/I 18/19, DIPC WHHT Paul Reeves, Head of Nursing for Education & New Roles NHSE/I The matron’s handbook Matron’s Engagement Event 4 | Presentation title #Team. CNO / Nursing Directorate

Background • No recent publications to support matrons • Matron’s Charter & Key roles are almost 20 years old • The role of the matrons is integral to high quality care • Ward leaders handbook • Executive nurse handbook • Developmental framework for matron’s as part of wider approach to leadership development at NHSE/I 5 |

Annesha’s NHSE/ Nurse Fellow project 2018/19 • Development of the Matron’s handbook • Supported by colleagues in the NHSI & NHSE Nursing Directorate / #Team. CNO, matrons, national stakeholders • Matron’s key role by consultation with matrons’ nationally • Consultation on the matrons’ handbook by experts 6 | Presentation title

Nurse Fellow Programme • • Development opportunity at NHSE/I Integral part of national nursing team Focus on a specific piece of work Time and space to focus on own professional and personal development • Projects have included • Matron’s handbook • Frailty • Digital • Leadership • End of Life Care • Dementia • Ward leaders handbook • Burdett Trust shadowing research 7 | Nurse Fellow

Why the development of the Matron’s handbook? • Background to the handbook • Nurse Fellow Programme • Why do we need a handbook • Purpose of the handbook • Creating the content • How the handbook can be used • Aspiring matrons • Current matrons • Directors of Nursing / Chief Nurses 8 |

Purpose of the matron’s handbook • Support professional and personal development • Need to encourage nurses to take up this role • Vital to high quality care • Support to this role has an impact on the future of senior nurse leadership • Looks beyond the clinical skills required 9 |

Process of Development of the Matron’s Handbook National visits, stakeholders meetings and collaboration I have undertaken: • Ruth May, Chief Nursing Officer for England • Hilary Garrett, Deputy Chief Nursing Officer for England • Paul Reeves, Head of Nursing for Education and New Roles NHS Improvement • Dr Jacqueline Mc. Kenna MBE, Former Director of Nursing, NHS Improvement • Dr Liz Westcott, Department Head Nursing, Oxford Brookes University • Dr Judith Enterkin, Associate Professor – Leadership, London South Bank University • Dr Natasha Phillips RN, Chief Nursing Informatics Officer, University College London Hospitals NHS Foundation Trust • Dame Eileen Sills DBE, Chief Nurse and Director of Patient Experience and Infection Control, Guy's and St Thomas' NHS Foundation Trust • Flo Panel-Coates Chief Nurse, University College London Hospitals NHS Foundation Trust • Rosemary Chable, Deputy Chief Nurse, University Hospital Southampton NHS Foundation Trust • Sue Tranka, Chief Nurse, Ashford and St Peter's Hospitals NHS Foundation Trust • Antonio Lynch, Director of Nursing/Deputy Chief Nurse, Guy's and St Thomas' NHS Foundation Trust • Jane Robinson, Clinical Improvement Project Lead, NHS Improvement • The Queen Elizabeth Hospital NHS Foundation Trust King's Lynn • University College London Hospitals NHS Foundation Trust • Norfolk and Norwich University Hospital NHS Foundation Trust 10 |

Process of Development of the Matron’s Handbook National visits, stakeholders meetings and collaboration I have undertaken • University Hospital Southampton NHS Foundation Trust • Ashford and St Peter's Hospitals NHS Foundation Trust • St. Georges University Hospital NHS Foundation Trust • Guy's and St Thomas' NHS Foundation Trust • West Hertfordshire Hospitals NHS Trust • NHS Wales / The Welsh Government • Aneurin Bevan Health Board Wales • The NHS Long-Term plan • The Queen’s Nursing Institute • Royal Colleague of Nursing • NHS Leadership Academy • Health Education England • Oxford Brookes University • Public Health England • The Kings Fund 11 | • NHS England

Matron’s Engagement & Development Events • Birmingham –April 3 rd 2019 • Manchester – May 22 nd 2019 • Bristol – May 29 th 2019 • Over 300 matrons attended • @Matron. Network @AArchysha • #Matron. Network • #Team. CNO_ 12 |

Matron Development & Engagement Event Agenda • The Matron’s Role: Ruth May / #Team. CNO • The role of the modern matron – Dr. April’s research findings • Future Nurse: Standards of Proficiency for RN’s • NMC: Nursing registration • Nursing Associates • Workforce • Image of Nursing • Clinical Leadership and CQC Well-Led • Quality Improvement: Criteria Led Discharge • World Café: development of the matrons handbook 13 |

The Old Matron’s 10 key responsibilities 1. Leading by example 2. Making sure patients get quality care 3. Ensuring patients nutritional needs are met 4. Improving wards for patients 5. Making sure patients are treated with respect 6. Improving hospital cleanliness 7. Preventing hospital-acquired infection 8. Ensuring staffing is appropriate to patient needs 9. Empowering nurses to take on a wider range of clinical tasks 10. Resolving problems for patients and their relatives by building closer relationships 14 |

Current focus on the Matron’s role • Quality improvement in the delivery of harm-free care • Assurance and accountability across a range of services • Staffing and workforce delivery improvement • Finance and budgeting and allocation of resources • Performance monitoring • Patient flow and site performance • Patient safety and incident management • Enhanced communication skills • Managing challenging behaviour • Delivering diversity in the workforce • Nurse leadership and strategic development • Teams development 15 |

The new matron’s key roles 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 16 | Inclusive leadership, professional standards and accountability Governance, patient safety and quality Workforce planning and resource management Patient experience and reducing health inequalities Performance and operational oversight Digital and information technology Education, training and development Research and development Collaborative working and clinical effectiveness Service improvement and transformation

1. Inclusive leadership, professional standards and accountability • • Visible and providing an authoritative presence Using strategic thinking Compassionate inclusive leadership Clinical and professional credibility 17 | Presentation title

2. Governance, patient safety and quality • Audit and monitoring • Quality and safety performance • Patient safety 18 | Presentation title

3. Workforce planning and resource management • Staffing is appropriate to meet patient needs • Trust retention plan key themes • Retention Resources • New roles • Building a diverse workforce • Enabling staff development that is equitable 19 | Presentation title

4. Patient experience and reducing health inequalities • Model good engagement with patients, carers and families • Continuous improvement of patient experience and ensure positive outcomes • The matron’s role in end-of-life care • Patient experience tools 20 | Presentation title

5. Performance and operational oversight • Monitoring quality and safety • Operational performance in line with the accountability framework, CQC KLOE • Improving flow through the emergency care pathway • Financial stability, budget and business planning 21 | Presentation title

6. Digital and information technology • Technology to support day-to-day duties • Digital-ready workforce • Royal College of Nursing’s campaign • Every nurse an e-nurse Leading on ways to support local care providers • NHS England NHS Improvement, • NHSX, NHS Digital • Department of Health and Social Care 22 | Presentation title

7. Education, training and development • Self-development for matrons • Staff development Resources for matrons • The King’s Fund leadership development courses • RCN resources on professional development • RCN resources on leadership for inclusion • NMC Future Education Standards 23 | Presentation title

8. Research and development • • Research for patient benefit Clinical academic career through a research portfolio To advance evidence-based practice Catalyst for innovative practice and drive change Improving clinical outcomes for patients The National Institute for Health Research (NIHR) UK Clinical Research Network (UKCRN) High quality clinical research Transforming care through technology – a toolkit for new models of outpatient care 24 | Presentation title

9. Collaborative working and clinical effectiveness • Collaborative working • Delivering effective clinical care • Monitoring clinical effectiveness 25 | Presentation title

10. Service improvement and transformation • Empowering staff to take on wider ranges of clinical tasks • Improving service quality, efficiency and morale • Quality improvement QI topic Benefits Criteria-led Increased weekend discharges discharge/ home first 26 | Presentation title End-of-life care Improves the outcomes for end of life care for patients Frailty Identifying and managing frailty for early intervention

The matron’s developmental framework and competencies • Assess and rate yourselves against the competencies and actions in the table • After identifying specific developmental needs • Complete the actions based on the 10 key roles to fulfil your developmental needs • Signing off those where competence is already evident 27 | Presentation title

Support is available for matrons • Matron’s handbook - The new matron’s key roles • RCN leadership hub • NMC standards, Fitness to Practise guidance etc… • NHSI staff deployment resources • NHSI provider bulletin • CNO bulletin • Professional support from your Ho. N/Lead Nurse/Chief Nurse • Mentoring and coaching • Shadowing and secondments • Matron’s Charter • Conferences, events, collaboratives 28 | Presentation title

How you can use the handbook • For general interest and reading • To help prepare for a new role • To support your own professional development • To support the professional development of an aspiring matron • To ask your senior management team how they can support you and your peers • Using the competences to sign-off your achievement in your role 29 | How you can use the handbook

Next Steps for the Matron’s Handbook • Publication of the handbook • Launch and implementation of the handbook through 5 conferences • Distribute copies 30 |

Contact: Annesha Archyangelio, Nursing Fellow Professional Leadership 2018/2019 & Deputy Director IPC West Herts Hospital Email: A. Archyangelio@nhs. net Twitter: @AArchysha 31 | @Matron. Network