1. Back-to-the-floor Simon Jarvis Head of Patient Experience Jamie EmeryPatient & Public Involvement Manager

2. Back-to-the-floor 8 nursing care indicators 13 patient feedback questions Real time data collection and reporting 15 patients every month – every ward Unannounced audits by senior nurses Triangulated with existing data (PALS, Complaints)

3. Back-to-the-floor Background Wealth of evidence – Kings Fund, NPSA, NICE, RCN Ad hoc audits Drowning in data Slow disparate reporting Lack of assurance and feedback No ownership

4. Back-to-the-floor Objectives Patient safety and high quality care Standard setting Staff engagement and accountability Patient feedback Trust Board assurance Share best practice

5. Back-to-the-floor Process Partnership working with IT, PPI and Nursing Consultation with key stakeholders Communications Pilot Back to the floor model Results and assurance Back-to-the-floor Patient Experience

6. Development and implementation considerations Single point of entry In-built validation Real-time Mobile devices Wireless access in all clinical areas

7. Metrics

8. Collecting Patient Experience

9. Reporting

10. Ownership and integration

11. Back-to-the-floor Outcomes Significant improvement to nurses’ ability to collect and use data to enhance the quality and safety of care Real time quantitative data - 700 in patients are audited every month Nurses can benchmark their performance Changes in practice reported monthly to Executives and bi-monthly to Trust Board

12. Back-to-the-floor Dissemination Locally within Trust – Intranet Nationally – presentations, awards Internet site Internationally

13. Back-to-the-floor Secrets of success Keep it simple Support from senior managers Extensive pilots Articulate expectations Celebrate success

14. Nursing Metrics Thank you