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Nurses able to ‘measure impact’ of new framework


Individual nurses as well as teams and organisations will be able to measure the impact of the new national nursing framework for England, according to those behind the document.

The framework for nurses, midwives and care workers, called Leading Change, Adding Value, was launched on Wednesday by chief nursing officer for England Jane Cummings.

“We will be gathering examples of good practice and measurements of impact”

Hilary Garratt

It focusses on improving care through demonstrating nurses’ impact and reducing unwarranted variation, with a particular focus on prevention.

The framework is centred on 10 commitments, which include having appropriate staffing, encouraging research on practice, and increasing the visibility of nurse leadership.

It also contains a “very helpful guide” to measure the impact of each of the commitments at every levels, noted Hilary Garratt, deputy chief nursing officer for England, at the framework’s launch.

Ms Garratt was responding to senior nurses attending the Nursing Times’ Directors Congress in Manchester, who asked how they would be able to measure the impact of the framework.

She highlighted that it included an impact measurement tool, which was drawn up by nursing academics led by Professor David Sines, emeritus professor at Buckinghamshire New University.

The tool, found in Appendix C of the framework, sets out an “impact statement” for each of the 10 commitments.

“We really want to focus on a shift to measure and improve”

Jane Cummings

In addition, every commitment has 16 examples of how to measure progress against it. These are targeted at either “frontline staff”, “organisational leaders”, “educators and trainers”, or “system influencers and commissioners”.

Ms Garratt said the tool provided “suggestions about how to measure impact whether you are an individual practitioner, an individual carer, whether you measure impact as part of a team, how you measure impact as part of an organisation and how you measure impact on a system level as well – for example, if you are involved with or work with commissioners”.

She also stated that there were a “number of national programmes with concrete measures in place”, which were linked to the framework, that would be reported nationally.

NHS England

Nurses able to ‘measure impact’ of new framework

Jane Cummings

“Of equal importance, we will be gathering examples of good practice and measurements of impact and recording and publishing and celebrating those as well,” she added.

Meanwhile, Ms Cummings highlighted that the framework represented a “real shift in focus” that she thought health professionals would welcome.

“We really want to focus on a shift to measure and improve, as opposed to just compliance and regulation,” said the CNO.

“This is really about measuring where you are and then measuring your improvement as opposed to just ticking a box around compliance and regulation,” she said. “I think that’s a really important message that we want to give.”


Readers' comments (2)

  • There are always will be major cracks in the framework until the NHS accepts it's weakness and turns a blind eye to many bad practices

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  • Cummings doing things at nurses is not going to gain you any favours. I and others don't respond to control tactics by tool heads. Nurses don't need tool headed approaches by unrealistic academics. This is nonsense and self performance related so managers can beat nurses with a stick and say 'well you agreed to it and pointed it out'. Cummings such a silly American approach won't work - look what happened to Black & Lean in Canada he was laughed out of town and you are going the same way.

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