• Developing a nursing dependency scoring tool for children’s palliative care: the impact on hospice care

      Tatterton, Michael J.; Martin, C.; Moore, C.; Walker, C. (2020)
      Background: Occupancy is commonly used to measure bed management in hospices, however increasing complexity of children and young people, and technology dependence mean this is no longer effective. Aim: to develop a dependency tool that enables the hospice to safely and effectively manage the use of beds for planned short breaks (respite), preserving capacity for children requiring symptom management and end of life care. Methods: a comprehensive literature review and existing tools were used to inform the development of the Martin House Dependency Tool Framework. Training was provided to staff and the tool piloted before applying it across the hospice caseload. Findings: The Tool has been used on 431 children (=93.1% of caseload). The Tool enabled consistency of assessment and more effective management of resources, owing to a contemporaneous understanding of the clinical needs of those on the caseload. Conclusion: The tool has enabled consistent and transparent assessment of children, improving safety, effectiveness and responsiveness, and the management of the workforce and resources.
    • Embedding Cultural Understanding in Leadership and Management

      Archibong, Uduak E.; Burford, B. (2006)
      This paper presents the findings from the evaluation of a `learning partnership¿ scheme between Black and Minority Ethnic (BME) staff and senior managers within a University in the UK.
    • How do consultant radiographers contribute to imaging service delivery and leadership?

      Snaith, Beverly; Clarke, R.; Coates, A.; Field, L.; McGuinness, A.; Yunis, S. (2019-01-02)
      Background: Consultant radiographer numbers remain low despite the ongoing capacity challenges in diagnostic imaging. This is compounded by the limited evidence of how such roles can positively impact on service delivery, particularly in relation to their leadership expectations. Aims: To examine the activities undertaken by consultant radiographers; evidence the impact of the roles, and consider whether the roles encompass the four domains of consultant practice. Method: Six consultant radiographers employed in a single NHS Trust completed an activity diary over a period of 7 days. Interval sampling every 15 minutes enabled the collection of a large volume of complex data. Findings: All consultants worked beyond their contacted hours. The documented activities demonstrate the breadth of the roles and confirmed that the participants were undertaking all four core functions of consultant practice. Conclusion: The impact of the roles stretched beyond the local department and organisation to the health system and wider profession.