Nottingham University Hospitals NHS Trust (NUH)
The Chief Nurse Excellence in Care Fellowship Programme
Overall Winner of Using Insight for Improvement Category
Contact Details: Louise Bramley - louise.bramley@nuh.nhs.uk
Organisation
Nottingham University Hospitals NHS Trust (NUH) is an aspiring American Nurses Credentialing Centre (ANCC) Magnet® organisation providing high quality and safe clinical services, and excellent staff experience. We are one of the largest Trusts in the UK and one of the largest employers in the region, employing around 15,000 people at QMC, Nottingham City Hospital and Ropewalk House. We are based in the heart of Nottingham, providing services to over 2.5 million residents of Nottingham and its surrounding communities. We also provide specialist services for a further 3-4 million people from across the region. Our portfolio of activities range across 90 clinical ward areas, approximately 1,700 beds and day-case ambulatory and midwifery community services.
General Summary
The Chief Nurse Excellence in Care Fellowship (CNEF) is an innovative initiative that has shown to empower junior front-line nurses, midwives and operating department practitioners to make significant impacts on patient care through quality improvements projects, whilst gaining academic experience and leadership skills. This initiative is designed specifically to retain talented staff as well as allow them to experience the early stages of a clinical academic career pathway. Informed by our consultation with over 5000 nurses, midwives and ODPs, an initial pilot cohort of six frontline junior nurses was commenced. The model ensures frontline staff continue to work in clinical practice, with one day per week over a year to undertake a bespoke training programme with support of a clinical and academic mentor. A further three cohorts have since been recruited, totalling 22 CNEFs. It is now being adopted within midwifery and AHP communities at NUH and within 4 Trusts within England. Outcomes of the initiative are consistently three-fold. Individual quality improvement projects, which were diverse and across a range of specialties showed significant impact on patient care and outcomes. In addition, all participants were retained within the organisation and also reported gaining valuable leadership and academic skills.
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