Nurses at Western Sussex Hospitals NHS Trust have adopted the Productive Ward programme across all wards and been commended by regulators for their work on the initiative.
Matron Jackie Hole, who has been leading the national programme for the trust, gave a report to the trust’s board in April highlighting progress.
She told the board: “Implementation included the introduction of protected meal times, monitoring of infection rates, high impact interventions, clinical outcomes, clinical incidents and near misses etc and staffing outcomes. This had been observed and commended by a recent Care Quality Commission’s unannounced visit.”
The board also noted that this information was available by “ward, division and trust-level dashboards”. Separate dashboards have been set up for accident and emergency, and the women and children’s unit. One for maternity services is being developed.
The report states: “The board noted that all wards had adopted the Productive Ward system. There was a positive approach to take-up of the programme because staff could see the benefits to be realised through it.”
The trust is currently looking at developing a “charter mark” system for rewarding wards that achieve certain targets, and how to refine its dashboards as a means of monitoring quality of care.
The report says: “The board discussed the way in which wards addressed areas for improvement identified through the dashboards.
“The information collected via the programme was rated, using a ‘red’, ‘amber’ and ‘green’ (RAG) methodology. Areas of ‘red’ reporting were escalated to the matrons and senior staff as appropriate.
“It was also noted that the staff working in wards completed the audits but to ensure a robust, consistent approach spot checks are undertaken. It was suggested that wards could be subject to peer review, to provide added assurance as to the robustness of monitoring and data collection.”
The NHS Institute for Innovation and Improvement officially launched the Releasing Time to Care: Productive Ward programme at the Royal College of Nursing’s annual congress in 2007.