“The biggest challenge I face is ensuring the continuing competence of nurses”

Dame Fiona Caldicott

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?

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?

The Knowledge Iceberg

Who Knows What, When, Where?

The Known Gaps

The Unknown Gaps

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

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

Targets your training budget

• 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

• 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

Sample Medical Devices

Volumetric Infusion PumpSyringe PumpPatient HoistPortable Suction UnitEnteral Feeding PumpDinamapCardiac MonitorAmbulatory Infusion PumpManual DefibrillatorPatient Controlled Analgesia Infusion Pump

Example Competency Modules

Sample Procedures

Temperature RecordingBlood Pressure RecordingPulse RecordingMedicines ManagementIV Cannulation

Sample Device Manufacturers

Smiths-Medical PhillipsGE ArjoAbbott bBraun

Rapidly Growing Competency Suite

Contact Nurse Excel for complete list

Visit www.nurse-excel.co.uk

Email sales@nurse-excel.co.uk

Telephone 0203 289 4881

More Information?

“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