Tag Archives: NHS

NHS Trusts – Maintaining a Consistently Competent Workforce

NHS Trusts are often put at risk by their inability to provide assurance that individual staff members are appropriately and currently qualified, experienced and capable of working in a specific clinical area or carrying out a specific task or function.

Holding a record of staff certificates and qualifications is not enough when you need to be confident that the people you select today are currently qualified, experienced and trained and will work or deliver in the way you need them to.

How could you Solve it?

Using Cognisco’s my*KNOW platform Trusts can quickly and easily add and build competency frameworks. Collating and managing certifications and qualifications for each individual is easy and keeping a track of assessments taken, learning and development requirements identified and upcoming courses, events or activities by individual and by team is simple.

Each individual can keep a track of their own progress, can record and evidence their own skills and certificates, take online assessments and find and access any appropriate learning or development material they require.

Providing a clear and auditable trail of employee competence and accreditation at any point in time proves invaluable for both meeting regulatory compliance and in significantly reducing the cost and time involved in any incident related litigation.

So, identifying the currently qualified individuals across the organisation is now straightforward and building them into work groups or teams is a simple “drag and drop” exercise.

How can you be sure?

In both clinical and non-clinical environments and over the course of 20 Years and countless thousands of assessments, Cognisco are able to evidence that on average up to 30% of any workforce, will unwittingly have a low enough level of understanding, to place the organisation (or their colleagues and patients)  at significant risk.

Traditional assessment processes fail to uncover what an individual actually understands about how, when and why they should apply the knowledge (or training) they have been given in practical day to day terms. This means that even those who score highly on post-training assessments may well apply their recently acquired knowledge incorrectly when faced with a real life situation.

Cognisco shows organisations where there are hidden gaps in each individual’s understanding of any given subject or process that may cause them to work or act inappropriately or incorrectly.

Using Cognisco’s my*KNOW platform, Senior Nursing Staff and Managers can track and monitor individual staff member progress. The wider Trust can more readily identify trends before they become problems and can more accurately plan and budget for further training and development, based now on empirical evidence of the precise need.

Each individual can keep a track of their own progress, can record and evidence their own skills and certificates, take online assessments and find and access any appropriate learning or development material they require.

What will we do?

Work with you to review your current Competency Frameworks /help you build them if  you don’t have them today and upload then into our my*KNOW platform in just a few hours

Help you integrate any existing employee certifications, records or related documents

Show you how to manage the processes involved and generate management reports easily and quickly.

Where Appropriate

Deliver an assessment that will discover and expose the specific gaps in employee understanding that may pose a risk to your operation.

Provide your  staff with my*KNOW to access to assessments and the ability to upload any relevant certificates or documentation.

Provide your  Senior Staff and managers my*KNOW’s intuitive dashboard reporting to enable then to identify and address development or coaching issues before they become a problem.

Enable the  wider organisation to structure, plan and budget training for the future and to manage, monitor and mitigate any potential risks with my*KNOW reports.

What are the benefits?

– Reduced exposure to risk of serious incidents

– Identify currently qualified staff regardless of their location

– Rapid build and deploy  of new teams or workgroups

– Visibility & management of upcoming assessments or training requirements

– Roll-back capability to evidence competence of any individual at any given time

– Reduced time, cost and resource involved in issue resolution or litigation

– Easily generate management and audit level reports for compliance

– Identify gaps and issues in current workforce competence or qualification

 

Download your PDF version here: NHS Trusts – Maintaining a Consistently Competent Workforce

How an NHS Trust Transformed its Training Results

Reading Time: 2 Minutes

HR together with Learning and Development are discovering a new way to improve the stickiness and efficacy of training and learning interventions.

The net result is better trained people, who are more motivated, more confident and more capable.

They’re managing to do that without a root and branch overhaul of their existing LMS facility too.

 

What’s the secret?

You’ll be interested to know that your peers in the NHS as well as L&D professionals from industries as diverse as Retail Banking and Fast Food preparation have been using an approach which removes the guess work from identifying specific and individual training and development needs.

It’s an approach which evidences what each person actually understands and how they will apply that understanding in their day to day working environment.  It shows where there are gaps or inefficiencies in existing training programmes and interventions that mean the learning is not “landing” with one or more people.

It’s those gaps which are proving to be critical, because a gap in someone’s understanding readily and demonstrably translates into an inappropriate action or behaviour, an unprofessional response or simply just a completely avoidable accident.

In the NHS those accidents might result in a complaint or worse still a death and any and all of those incidents could add up to a serious case review, litigation and ever more drain on morale and the public’s perception.

 

How does this work?

Cognisco works with HR/L&D organisations to help them understand and identify where despite passing the tick box tests, individuals do not really understand what they’ve been taught and won’t be able apply that learning effectively when they’re back on the job.

 

And So?

That means that L&D can more effectively target training and interventions to address known and specific gaps in individual’s knowledge and understanding. This results in a reduction in costly and ineffective “blanket” training and an all-round improvement in the impact and effectiveness of any learning delivered.

 

We can prove it too.

Our approach is working today across multiple industries and specifically in the NHS too. Here’s a recent report which explains the approach and outcome in one leading NHS Trust and Teaching Hospital.

 

Will it work for you?

We are sure it will. We can discuss your specific objectives in an introductory exploratory meeting which usually takes less than an hour.

 

 

Download your PDF version here: How an NHS Trust Transformed its Training Results

Could a new approach to assessing midwives restore confidence and improve the quality of care?

Reading Time: 3 Minutes

NHS Maternity services have been hitting the headlines for all the wrong reasons in the past few months. In October 2013, a survey from The Royal College of Midwives revealed that almost a quarter of midwives were considering leaving their profession because of resentment over pay and conditions. The report also stated that many midwives were feeling demoralised, disillusioned and burned-out.

In November, the National Audit Office’s report, ‘Maternity Services in England,’ focusing on the state of maternity care in the UK revealed that mistakes in maternity care account for a third of NHS negligence payouts which have risen by an astonishing 80% over the last five years. Trusts paid £482 million for maternity clinical negligence cover in 2012-13, equating to around a fifth of spending on maternity services.

The report highlighted that whilst there have been improvements in maternity services since 2007, there is still room for development; there are big variations in the quality of care and the performance outcomes of maternity units across the country. Critical areas earmarked for improvement include the high number of still births and babies that die within several days of birth.

 

In December, Prof Sir Mike Richards, the chief inspector of hospitals, said that too many women giving birth still experienced care that was not good enough, and could be “truly shocking” or even frightening.

There are of course a multitude of pressures on NHS maternity services. They are overstretched, with the current birth rate at a 40-year high and staffing levels aren’t meeting the widely recognised benchmark of one midwife to 29.5 births. There are also major financial pressures.

One thing is clear however, a major change in maternity services needs to happen. The low morale of midwives is an issue to address and the care of patients needs to improve to reduce risks. The NHS needs to uncover and tackle the root causes and problems that are leading to the kinds of mistakes that are compromising the safety of women and their babies and making litigation cases all too common.

 

In any work environment, the risk of human error is inevitable, and whilst they can’t be eliminated entirely, they can be reduced. In both clinical and non-clinical environments and over the course of 20 years and countless thousands of assessments, we have been able to evidence that on average up to 30% of any workforce, will unwittingly have a low enough level of understanding, to place the organisation (or their colleagues and patients) at significant risk. They key to changing these factors are to uncover where the problems lie and this the hard bit for many organisations.

We have been working with one leading NHS Trust and have introduced an entirely new approach to the assessment and ‘skills and drills’ training of midwives, measuring a unique combination of their knowledge, behaviour and confidence in realistic work scenarios. The results highlighted any risk areas where knowledge, competence or confidence levels were low and where targeted training interventions was needed to improve performance and reduce risk.

The goal of this particular NHS Trust was to eliminate the risks of serious case incidents and deaths in Obstetrics. It had experienced a rise in the number of cases of women suffering from postpartum haemorrhage – a leading cause of death in women after they have given birth. Analysis of such incidents highlighted the need for staff to be able to anticipate, recognise and respond immediately to women at risk of clinical deterioration, in order to improve patient safety and reduce likelihood of major obstetric haemorrhage.

 

A specialist online assessment tool was developed to evaluate the performance of midwives and doctors in simulated and realistic acute clinical situations. The assessment evaluated people’s communication skills, decision making, ability to spot risks, the quality of their handover to other colleagues, their overall patient handling and care and how they would escalate a situation, amongst other factors. The assessments allowed them to ‘practice’ their responses to emergency situations in a safe environment.

Since October 2009, 49 midwifery and medical staff have participated in the development of the online evaluation process, which is now being embedded within the maternity programme. The Trust has seen a clear decline in patient safety incidents even though the ward is busier handling up to 500 plus births a month, up from 300.

Reporting on the impact of the assessment on the staff, managers within the Trust stated that clinical staff are more confident in their decision making and able to escalate issues more easily; better at coping in emergency situations, there is a greater awareness of patient needs and expectations, better team working and communication and that the hospital now a more robust recruitment and selection process.

 

As one midwife at the Trust said: “The number of patent safety incidents is declining…we know how many serious incidents we have had and the type and profile of those incidents have definitely changed. I think some of it is about having the right level of staffing but a big part of it is about training and people feeling confident with their skills.”

We believe this same approach could be introduced across all NHS departments to improve the competence and confidence of multidisciplinary teams and reduce the risk of deaths in obstetrics and costly litigation.

 

Download your PDF version here: Could a new approach to assessing midwives restore confidence and improve the quality of care

Managing Human Factors in Maternity Care

Reading Time: 1 Minutes 30 Seconds

A leading London NHS Trust and Teaching hospital, managed to reduce the number of serious case incidents in Maternity by working with Cognisco to assess the effectiveness of their Skills and Drills Training.

The Cognisco approach helped identify specific gaps in individual staff member’s areas of understanding, confidence and knowledge and to develop specific interventions to address them.

The approach proved so successful, that the London Trust extended the programme to look at Managing the Human Factors involved in Maternity Care. The outcomes and benefits were impressive here too:

 

– A decline in patient safety incidents

– Stronger foresight and situational coping

Improved confidence and decisive behaviour enhanced escalation and challenging upwards

– Overall improvements in communications and handovers individually and within teams

– Revealed targeted training by individual

A more robust selection for recruitment

 

Managing Human Factors in Maternity from Cognisco is now available for other trusts who are keen to benefit from the same improvements in staff understanding, knowledge and confidence and who are looking to see a reduction in serious case incidents in Maternity.

Easily and quick to implement, Cognisco’s approach can be delivering tangible results and improvements in no time at all.

 

Understand the benefits in more detail: The Impact on Midwifery Job Performance and Behaviour

 

Get the full report on Cognisco’s work with The Leading London Trust and Teaching Hospital in Maternity here: An Evaluation of Targeted Training Impact on Midwifery Job Performance and Behaviour at A Leading London Trust & Teaching Hospital

 

Could a new approach to assessing midwives restore confidence and improve the quality of care?: Could a new approach to assessing midwives restore confidence and improve the quality of care

 

Download your PDF version here: Managing Human Factors in Maternity Care

Reducing the risk and cost of serious case incidents

What are the benefits?

Typically our clients see benefits in the following areas:

– Reduction in serious case incidents

– Critical Skills gap analysis

– Rapid diagnostic of areas of weakness, risk or concern

– Auditable data for improved governance and compliance

– Immediate efficiencies in training and development

– Informative and insightful dashboard and reports to aid planning, early warning and intervention.

 

What’s the problem?

You know that all the processes and procedures you’ve worked hard to define and develop don’t deliver the healthcare service you commit to achieving don’t you?

It’s the people you expect to follow and adhere to them who do that.

The challenge is that despite all the processes, procedures and training you could possibly provide, people still cause serious incidents, make continual simple mistakes and breach fundamental policy on an all too frequent basis.

The ramifications are obvious and of course the implications for all involved are incredibly serious.

The problem is that the most common response is a process review and more training and evidently neither ever identify or really fix, the root cause.

 

How could you solve it?

– Identify and address the hidden gaps that present the greatest risk

– Manage, Monitor and Mitigate

In both clinical and non-clinical environments and over the course of 20 Years and countless thousands of assessments, Cognisco are able to evidence that on average up to 30% of any workforce, will unwittingly have a low enough level of understanding, to place the organisation (or their colleagues and patients)  at significant risk.

Traditional assessment processes fail to uncover what an individual actually understands about how, when and why they should apply the knowledge (or training) they have been given in practical day to day terms. This means that even those who score highly on post-training assessments may well apply their recently acquired knowledge incorrectly when faced with a real life situation.

Cognisco shows organisations where there are hidden gaps in each individual’s understanding of any given subject or process that may cause them to work or act inappropriately or incorrectly.

Using Cognisco’s my*KNOW platform, Team leaders and Managers can track and monitor individual team member progress. The wider Organisation can more readily identify trends before they become problems and can more accurately plan and budget for further training and development, based now on empirical evidence of the precise need.

Each individual can keep a track of their own progress, can record and evidence their own skills and certificates, take online assessments and find and access any appropriate learning or development material they require.

Providing a clear and auditable trail of employee competence and accreditation at any point in time proves invaluable for both meeting regulatory compliance and in significantly reducing the cost and time involved in any incident related litigation.

 

What will we do?

Cognisco’s expert Occupational Psychologist consultants and our team will work with you to:

– Design a new style of assessment that will discover and expose the specific gaps in employee knowledge and understanding that are causing consistent errors.

– Review and assess existing and planned training interventions and learning materials to ensure they are aligned to address the specific needs and requirements of your staff and the objectives of the organisation.

– Provide your staff with my*KNOW to access and take small, regular and focussed assessments and direct them to the specific learning tools and information they need to plug any gaps.

– Provide your team leaders and managers my*KNOW’s intuitive dashboard reporting to enable them to identify and address development or coaching issues before they become a problem.

– Enable the wider organisation to structure, plan and budget training for the future and to manage, monitor and mitigate any potential risks with my*KNOW reports.

 

Where to start?

Post an initial exploratory discussion we find a pilot assessment is the fastest way to identify the primary issue areas and agree a plan for remedial action.

 

 

Download your PDF version here: Reducing the risk and cost of serious case incidents

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An Evaluation of Targeted Training Impact on Midwifery Job Performance and Behaviour at A Leading London Trust & Teaching Hospital

Reading Time: 2 Minutes

 

An Executive Summary:

Introduction

The Leading London Trust and Cognisco formed a partnership in 2009 to develop assessments to support midwifery with their new innovative approach to skills and drills training. The assessments were used as a means to evaluate the impact of the training in terms of learning and proved to be an effective measure of training impact; demonstrating that the training generated significant results in terms of improved understanding and confidence.

The purpose of this study was to understand the extent of any changes in terms of actual observable behaviour and performance back on the job post training.

 

Data Collection and Analysis

Three semi-structured interviews were conducted at The London Trust to ascertain the perceptions of key members of staff on the Labour ward with regard to job performance and behaviour post training intervention.

Thematic analysis of the transcribed interviews was conducted to draw out the key themes. Interview transcripts were analysed for content pertaining to impact during and post training in terms of actual job role performance and team working.

 

Results

The interview data suggested that, based on their perceptions on the whole, there were many positive improvements both to the training and approach as well as behaviours, confidence and job performance. The key themes were:

– Benefits of New Style Training

– Targeted Training to Individual Needs

– Escalation and Challenging Upwards

– Improved Confidence

– Improved Team Working

– Better Communications and Handovers

– Stronger Foresight and Situational Coping

– Awareness of Patient Care

– More Robust Selection for Recruitment

– Decline in Patient Safety Incidents

 

Overall, the assessment and targeted approach to training were deemed highly engaging and successful. The assessment provided evaluative measures for both pre and post understanding and confidence. Positive improvements were observed by means of improved confidence and decisive behaviours, resulting in reduced incidents. Improvements in communications in relation to team working, handovers and patient care were also observed.

 

Download your Full report here: An Evaluation of Targeted Training Impact on Midwifery Job Performance 2015

 

 

Download your PDF version here: An Evaluation of Targeted Training Impact on Midwifery Job Performance and Behaviour at A Leading London Trust