1. Intentional Rounding The Salford Royal Experience Chris Pearson & Julie Molyneaux Divisional Directors of Nursing

3. About Salford Royal Income £400m 6,014 staff 51,000 inpatients 588,000 community contacts 28,000 day cases 77,500 new outpatients 220,000 follow-up outpatients 78,000 A&E attendees

4. What do we consider important ?

5. Quality Improvement Strategy

6. Driver Diagram

7. What Is Intentional Rounding? An approach to checking on patients needs The rounding happens every 1-2 hours & is undertaken by the responsible nursing staff Specific questions are asked and needs met It is for the ward to test and implement a system in which intentional rounding works for them – an important part of nursing duties

8. Why Do It? Reduced call bells by 37.8% Reduced miles walked by nurses by 1.6 Reduced falls by 50% Reduced pressure ulcers by 14% Improved patient satisfaction scores Studer Group’s Alliance for Health Care Strategy (AHCS) research

9. The 4 P’s

10. Intentional Rounding Form

12. Patient Information

13. Pillow Card

14. Concerns & Challenges Tick box exercise Reduction in autonomy “Mithering” patients Time-consuming Too much focus on process rather than philosophy Seeing the patient reliably every hour is good thing

15. Reliability

16. Pressure Ulcer Data

17. Next Steps Ensure reliability Ensure meaning What matters most? Reviewing the process Community rounding

18. Prime Minister’s Visit to Salford

19. Nursing and Care Quality Forum The forum will seek out good practice, and advise on implementation. The prime focus will be to exhibit national leadership to stimulate local action by those delivering care to address problems and promote the improvements needed across services. The forum will have its own independent chair Membership that brings diversity in knowledge, expertise and interest. It will be expected to use research, establish an evidence base, listen to a wide range of views and synthesise best practice.

20. Workstreams Empowered and accountable nurse leadership Time to Care Right culture, right values Involve, listen to, hear

21. Questions?