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Improvements                                           Educational Developments

        Recruitment:                                           • Increased number of places to train Advanced Nurse
                                                                Practitioners secured and recruited to enhance
        • 114.68 WTE front line nursing staff recruited in the last
                                                                nursing practice and assist in the reduction of Junior
          12 months.                                            Doctors.
        • The development of a responsive recruitment culture   • Partnership working with HEI to run a new training
          with evidence of strong partnership between senior
                                                                programme for individuals educated to Masters
          nurses and human resource staff, notably working      level to undertake a shortened course to become a
          together on two successful national recruitment days
                                                                registered Children’s nurse. Cohort due to complete
          and a comprehensive induction programme for new
                                                                course in April 2018.
          nursing staff.
                                                               Quality Metrics
        • Nurse Pool sustained to cover maternity leave,
          sickness and vacancies.                              • Reviewed and enhanced monthly Safety
                                                                Thermometer point of care survey designed to
        • Development of nurse recruitment working group.
                                                                measure commonly occurring harms and support
        • Review and revamp of the nurse national recruitment   improvements in patient care and experience.
          day.
                                                               • Reviewed and enhanced Ward Accreditation scheme,
        • Revamp of the Nurse Induction Programme.              a quality initiative where wards across the Trust are
                                                                regularly inspected by an independent senior team
        Safe Staffing Levels
                                                                of nurses and patient experience leads assessed
        • Significant reduction month on month in the closure   against a range of measures based on the Care
          of beds to admissions due to nurse staffing levels.   Quality Commission’s Key Lines of Enquiry (KLOE’s).
        • Reduction in cancelled operations due to “staffing   Future Plans
          unavailable”.
        • 11 additional beds opened and staffed sustainably    • Continue proactive recruitment of student nurses
          to support bed availability due to projected winter   • Development of nurse apprenticeship and nurse
          pressures.                                            associate programmes.
        • Increased funding of the Nurse Pool from 20 WTE to   • Ensure that the nursing workforce strategy is a
          40 WTE.                                               continuing integral part of the overarching Trust
        • Increased ward based funded establishment for         strategy.
          registered and unregistered nurses on four wards     • Review and revamp the Preceptorship programme
        • Increased PICU funded establishment to support safe   • Work with the Communication Team to develop a
          and effective provision of ECMO.                      recruitment offer including a brochure and handouts

        • Comprehensive review of nurse staffing on Tier 4      for the recruitment days.
          CAMHS ward.                                          • Explore developing an offer of nursing rotational posts
        • Increased fill rates via NHSP for both registered and   • Continue monitoring vacancies, turnover rates and
          unregistered staff.                                   daily staffing levels with work feeding in to Workforce
        • Reduction in use of “agency rate” payment leading to   sustainability group.
          significant savings.                                 • Review the potential to implement an E Roster system
                                                                to support staff management of shifts.
        Strong and Effective Leadership Structure
                                                               • Review provision and resourcing of nurse education
        • Introduction and recruitment to a Matron structure
          across the three clinical Divisions.                  requirements in line with new Nursing & Midwifery
                                                                Council (NMC) standards for nurse training due May
        • Introduction and recruitment of a specific HDU Ward   2018 and ongoing specialist training needs.
          manager to provide dedicated leadership.
        • Internal promotion and external recruitment to Band 6
          and Band 7 posts.
        • Introduction and recruitment of a Play Manager
          to enhance and improve the play and recreation
          provision for children and young people.








        Alder Hey Children’s NHS Foundation Trust          143                          Annual Report & Accounts 2017/18
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