1. Key Issues: Quality and Patient Safety Public Health Nursing Service Donegal.
Code of Conduct and Ethics
Scope of Practice
Eileen Quinn
Director of Public Health Nursing
Donegal
16th October 2015

2. Vision for the PHN Service
Quality Integration and Collaboration: A Strategy for Community Nursing HSE 2015
The vision for the PHN Service is that of a universal service delivered with, and to, individuals, families and communities, which is integrated with primary healthcare for the purpose of achieving a high-quality, safe, seamless and client-centred holistic service. The focus of the service is to promote health and well-being, protect the public and provide clinical nursing care to the population through the delivery of high-quality evidence-based nursing care.
Code of Conduct and Ethics [NMBI 2014]
Scope of Practice [NMBI 2015]

3. [HSE Code of Governance 2004]
HSE Quality and Risk Management Standard and Quality and Risk Framework enable the HSE to measure performance in quality and risk assess against best practice standards including national standards by the regulator and professional bodies.
[HSE Code of Governance 2004]

4. Guiding Principles of Governance [HSE 2012]

5. Background to Quality and Patient Safety
Code of Governance HSE 2004 [Accountability]
Quality and Risk Management Standard HSE 2007 [Compliance – Documentation]
Building a Culture of Patient Safety DoHC 2008 [No Blame]
Developing and Populating a Risk Register Best Practice Guidance HSE 2009 [Risk Notification System]
Integrated Risk Management Policy 2009 & 2011 [Incident- Everbody’s Business - integral]
Safety Incident Management Policy HSE 2014[Incident Screening]

6. Quality & Clinical Governance- Progression
Quality and Patient Safety Clinical Governance Development – Assurance Checklist HSE 2012
Risk Assessment Tool and Guidance HSE 2013
Developing and Populating a Risk Register
Report of the Quality and Safety Clinical Governance Development Initiative Primary Care HSE 2014 [Integrated]
National Service Plan HSE 2014 / 2015 [Meet objectives at an integrated level – 4 Pillars]

7. Leadership & Governance
Structure
Director of Public Health Nursing
AD’s for PHN Service / AD Clinical Governance
Quality, Safety & Risk Committee, Infection Control, Collation of Information at management team meetings.
Named Leads within each Network -
Infection Control, HIQA Standards, Care Planning / Record Keeping, Wound Care Health and Safety, Dementia / Elder Abuse, Oncology Care, Lactation Consultants,
Leadership Development
Practice Development / Education Co Ordinator
Advanced Practice
Safe Guarding / Children
Site Preparation for ANP for Tissue Viability
Integrated Care Planning and Delivery
Educational Training Needs Analysis
Risk / Incident Notifications
Tracking and Trending
Environmental Audits
National Standards
Liason & Discharge Planning Role
Audit Plan – Key Identified Priorities
Family Health Needs Assessment Records
Generic Care Plans
Post Wound Care Educational Audit
Patient Charter/ Satisfaction Surveys
Progression of Work in Progress
Quality Walk Arounds to Commence

8. Leadership & Governance continued
Professional Development Agenda
Safe Guarding Adults & Children
Site Preparation for ANP for Tissue Viability
Integrated Care Planning and Delivery
Education / Training to promote learning: from Quality & Patient Safety Information, to inform future Quality Improvement Plans
Compliance with evidenced based PPPG’s
Compliance with the implementation of PPPG’S
Compliance with outcomes of Quality Improvement Plans

9. Professional Forums – Patient & Public Involvement [National Healthcare Charter HSE ]
Feedback on Service Delivery [experience] Identify areas for improvement Decide what is required to inform improvement Discuss the challenges eg Resource Limitations Discuss Professional Development Needs Notification to Chief Officer of issues that require resolve at higher management level

10. Conclusion
Culture of Awareness of Quality and Patient Safety [Experiential and Education]
Learning from Risk Notifications [Positive and Negative]
Learning from outcomes of Quality Improvement Plans to inform Service Improvement Agenda
Partnership working between the Organisation and the Public.