Intentional RoundingThe Salford Royal Experience

Chris Pearson & Julie Molyneaux

Divisional Directors of Nursing

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

What do we consider important ?

Quality Improvement Strategy

Driver Diagram

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

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

The 4 P’s

Intentional Rounding Form

Patient Information

Pillow Card

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

Reliability

Pressure Ulcer Data

Next Steps

• Ensure reliability

• Ensure meaning

• What matters most?

• Reviewing the process

• Community rounding

Prime Minister’s Visit to Salford

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.

Workstreams

• Empowered and accountable nurse leadership

• Time to Care

• Right culture, right values

• Involve, listen to, hear

Questions?