1. The Ashes: Catching and Keeping Nurses Catherine Stoddart Chief Nurse and Executive Director Patient Services

2. Background Building a sustainable Nursing and Midwifery Workforce at OUHT – Perspective of Nurses 8 weeks to 34 years Opportunity Transferability Recognition Competence and confidence

3. Nursing and Midwifery Strategy Challenge: balance of current workforce need and future proofing for next generation Clinical Excellence Leadership Education Research Innovation Outstanding nursing and midwifery that is internationally recognised for excellence

4. Catching ( attracting) Foundation Program Year 1 – Structured Dedicated program of supernumery up front then 12 days Clinical skills and risk areas Clinical Supervision Action Learning set

5. Catching (attracting) Foundation program 1(FP1) Initial pilot – bespoke 11 then 21 September 2015 – test the model at scale 46 adult, 42 midwives, 30 children's, 6 radiographers Next step for FP1 Once Stop Shop for graduates Recruited by sisters with coordination Linked to formal qualification Step to additional qualification Option of possible clinical academic pathway for stars

7. EU Recruitment Original program 2013 Revised November 2014 – 400 offers – 145 commenced – Local leadership – Social network development – Structured program – Nurse Lead and pastoral support 8% not arrived Approx. 97% retention to date

8. Catching -Early Career Options Foundation Program 2 (FP2) – Speciality rotation – Trust wide – Beginning leadership development – Structured – University accredited – Possible secondment

9. Accreditation? Nurses / Midwives stated wanted an aspirational goal The Board supported mechanism to strive for goals linked to quality and retention Created a mechanism to hold some of the plans within the strategy Building something positive in the journey ie not regulation

10. Magnet - Retention – Obtaining international accreditation for the quality of nursing & midwifery at Oxford will enable professionalism to be quantified and our pride justified. – Magnet Accreditation is the world’s premier scheme for assuring the quality of nursing and midwifery. – 400 hospitals world wide – Links to the Shape of Caring review by Lord Willis

11. Keeping ( retaining) Fourteen standards that are aspirational A gap analysis of OUH against the Magnet standards (completed) Developing data steams for nurse-sensitive quality indicators (on-going) Developing a Shared Governance Model Building a Professional Practice Framework

12. Keeping (Retention ) Professional Practice Model for a 2020 nurse Behaviours – explicit for all nurses Shift patterns, uniforms etc Way of working i.e. team v patient allocation Expectations of contribution to quality improvement Expectations of professional practice by nurses

13. Keeping (retention) Focus Groups said “ what will keep you?” Hygiene Factors Cost of living Accommodation and parking etc. Income Development Research and education Career enhancement – see a map of possible future The ward leader Opportunity to innovate / autonomy Creating pathways from band 2-4

14. Building Education Capacity Building an Oxford Academy to attract and retain – Creating Career Streams aligned to Clinical excellence ie clinical post graduate qualification – Leadership for mid band 5 and above – Ensuring longer term staff have opportunities – A new model of prioritisation and accessing the best of programs – Commitment to link to academic recognition – Pathways creating local options 2-4

15. Creating Research Capability Establishing Infrastructure – ( head of nursing research) Identifying research capacity – over 500 research nurses Priorities for clinical practice areas Structured clinical academic pathways ie early career nurses with joint positions for PhD Build Expectations for nurses and midwives – Clinical Doctorate for advanced practice

16. Immediate response of volume of nurses – EU, graduates, complimentary roles ie nursing assistants Building the future sustainable workforce – Model of practice – Education – Career pathways including research – Practice development Summary