Following the Francis, Cavendish, Keogh and now Berwick reports into patient safety what have we learnt and can do now to improve the skills and competencies of nurses and HCA's within the NHS. Nurse Excel has the tools and modules to put these recommendations into practice rapidly and at scale

1. “The biggest challenge I face is ensuring the continuing competence of nurses”
Dame Fiona Caldicott

2. Cavendish Review (2013)
"Lack of faith in the quality of some of the training on offer has led many organisations to
develop their own in-house training. Some of this is excellent, but it leads to duplication,
with employers retraining new staff irrespective of what they have learned elsewhere."
“I’m not sure we are testing competences as part of training. In medical training you have
competency simulation tests which have to be passed. Why aren’t the competences of
HCAs tested?” (Senior nurse educator, London focus group)
“There is no long term assessment of the impact training is having. The HCA may be able
to demonstrate a competency at the end of the training day, but what about the following
week or year? There is no follow-up.” (HCA development clinical lead, London focus group
"Many of us will rely on care assistants at some point in our lives, in particular in old age,
and we need them to be as good as they can possibly be – especially as some support
workers are carrying out procedures which used to be done by nurses, even doctors”
What have we learnt?

3. Berwick Report (2013)
"The most important single change in the NHS in response to this report would be for it to
become, more than ever before, a system devoted to continual learning and improvement
of patient care, top to bottom and end to end.”
“The NHS should continually and forever reduce patient harm by embracing
wholeheartedly an ethic of learning.”
“Mastery of quality and patient safety sciences and practices should be part of initial
preparation and lifelong education of all health care professionals, including managers and
executives.”
"The NHS should become a learning organisation. Its leaders should create and support the
capability for learning, and therefore change, at scale, within the NHS.”
“Rules, standards, regulations and enforcement have a place in the pursuit of quality, but
they pale in potential compared to the power of pervasive and constant learning.”
What have we learnt?

4. The Knowledge Iceberg
Who Knows What, When, Where?
The Known Gaps
The Unknown Gaps

5. Nurse Excel provides a suite of tests and competency modules that identify gaps in
knowledge and competency within the nursing and HCA cohort.
Management dashboards provide real time information providing deep insight into
knowledge gaps across the organisation.
Nurses and HCA’s are automatically signposted to learning materials within the trust or
approved external suppliers.
This unique Test Driven Learning approach enables rapid identification and rectification of
knowledge gaps reducing both costs and risks.
The Solution

6. Nurse Excel enables your training budgets to go further by targeting training only on
where the need has been evidenced.
Targets your training budget

7. • Provides complete compliance and transparency for documented competencies.
• Identifies gaps in competency and training materials.
• Can verify the efficacy and reach of training and training materials.
• Supports continuous learning and improvement.
• Enables trusts to focus training budget on need.
• Reduction in training costs.
• Increases uptake/usage of e-learning materials.
• Avoids taking nurses off the ward to train on topics where competency is already
evidenced/documented.
• Enables rapid compliance at speed and scale.
• Supports Cavendish and Berwick recommendations.
• Supports Patient Safety initiatives through reduction in medical device and procedural
errors as well as HCAI
The Benefits

8. • The Pure Web light touch solution can be rapidly deployed on existing trust
infrastructure.
• Nurse Excel is delivered on a SaaS (Software as a Service) model eliminating upfront
investment in servers and enabling rapid deployment.
• Nurse Excel comes with built-in Test and Compliance modules or can be easily
configured with localised/customised competency tests provided by the organisation.
• Open Integration enables Nurse Excel to integrate with other solutions such as ESR.
Implementation

9. Sample Medical Devices
Volumetric Infusion Pump
Syringe Pump
Patient Hoist
Portable Suction Unit
Enteral Feeding Pump
Dinamap
Cardiac Monitor
Ambulatory Infusion Pump
Manual Defibrillator
Patient Controlled Analgesia Infusion Pump
Example Competency Modules
Sample Procedures
Temperature Recording
Blood Pressure Recording
Pulse Recording
Medicines Management
IV Cannulation
Sample Device Manufacturers
Smiths-Medical Phillips
GE Arjo
Abbott bBraun
Rapidly Growing Competency Suite
Contact Nurse Excel for complete list

10. Visit www.nurse-excel.co.uk
Email sales@nurse-excel.co.uk
Telephone 0203 289 4881
More Information?

11. “Ultimately, by far the greatest
benefit to patient safety will be
achieved by increasing the skills and
the knowledge of the many rather
than penalising the very few.”
Don Berwick, 2013