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Headline

Exclusive: CNO defends takeover of safe staffing work

Comment

I would hope that we can still hope for guidance that will really raise the bar for nursing care. However this is putting the responsibility for evaluating the level in the hands of those overseeing the commissioning of services. To date we have not seen any evidence that the commissioning process improves quality, it certainly increases costs and distributes more contracts to the private sector. To date we have seen several major private contacts being simply walked away from, it is essential that any contract is ENFORCED both on quality and provision and punitive fines for non delivery that bring about the end of any company that fails to deliver on public sector provision. This should include a ban on all directors of those companies from any future public contracts. This would go some way to preventing the merry go round of failure, rebranding, re-contracting and failure again. It is clear that a fixed staffing ratio is unlikely to take account on variation in dependency and acuity, however it is also vital that turnover of patients is also included. There are many environments where several patients a day occupy a single bed. Guidance should also cover reduction in the number of handoffs of care where patients are transferred multiple times during an episode of care because of over use of resources.

Posted date

7 June, 2015

Posted time

7:49 am

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