1. Building Relationships to Enhance the Student Experience in Practice Placements Terri Rapson Faculty of Health

2. What we thought we had

3. Nationally a series of reports highlighting poor standards of basic nursing care in several acute hospitals and care homes What we actually had

4. Background Rise in regulatory organisations assuring quality and standards of care Health Committee – Seventh Report 2011 reported the Nursing & Midwifery Council was underdeveloped particularly around fitness to practice, education and training

5. Headlines NHS failing in basic care of some elderly patients, warns watchdog some NHS trusts do not provide dignity and nutrition for some senior citizen patients Nurses 'too busy' to help elderly patients with basic care One in three nurses said they did not have time to help patients eat or go to the lavatory Hospital sorry for failings over care of toddler Man, 35, died after catalogue of hospital errors

6. Disengagement and despondency

7. How do we change the relationship How do we change the bridge to provide higher quality placement experience for students

8. Scrutiny Revealed: The need for further Integrated Team Working between care providers, education and regulatory bodies Duplication of work and time when gathering and presenting evidence Impact on staff confidence, morale and ability to work efficiently and effectively Inconsistency of message given and received

9. Embracing change LETTING NEW PICTURES EMERGE

10. Opportunities of Scrutiny Improving quality care and patient safety Transparency Openness Honesty and probity Building genuine partnerships (beyond tokenism) Enhancing the quality of the learning and practice environment Proactive culture of learning

11. Strategic Planning and Visioning through Action Planning Unifying education and practice (people and resources) Shared vision with objectives (direction with a purpose) Working in partnership (relationships) Learning from past and present (actions, consequences and outcomes)

12. Process of Change Practice Learning Improvement Project (PLIP) PLIP Coordinator appointed Deputy Director of Nursing/Professor of Nursing and Practice Development appointed Strategic plan - Senior clinician forums - Educational audit improvements - Practice engagement (Link lecturer visits) enhancement - Algorithm devised– for withdrawal of placements

13. Key Lessons Learnt to Improve Student Experience Senior level organization engagement in mentoring issues, student capacity, educational audit, recognizing and responding to student concerns. Recognition of early indicators of a clinical area in difficulty Investment in strong placement support roles is essential Asking the right questions of students, clinicians and service users

14. Conclusions Acknowledge the need for transformation and change Recognise that investing and resourcing is essential for quality placement experience. Scrutiny should be embraced not avoided. Networking and dissemination vital to share learning

15. Any Questions Please?

16. References Nursing and Midwifery Council (2010) Quality Assurance of Education NMC, London http://www.nmc-uk.org/Educators/Quality-assurance-of-education/ [Accessed 29th June 2011] Nursing and Midwifery Council (NMC) (2008) ‘Standards to support learning and assessment in practice’ NMC, London. Quality Assurance Agency (2011) Benchmarking academic and practitioner standards in health care subjects QAA, London. http://www.qaa.ac.uk/academicinfrastructure/benchmark/health/default.asp [Accessed 31 May 2011] Parliament United Kingdom Health Committee; Seventh Report 2011 Annual Accountability Hearing with the Nursing and Midwifery Council 19th July 2011.