Welsh Nursing Review and discussion

What is working well –

office 365 and Microsoft teams has been a game changer in terms of working on shared documents BUT it is limited by our familiarity with the system and the outdated/ slow systems we are using to access it.. there are multiple servers across multiple sites and they have all moved over to office 365 at different times..

For more junior staff, office 365 and teams has been great for accessing training from home and enabling them to attend meetings but they are limited by their access to suitable IT equipment at home and in our rural area the poor/ slow broadband

What needs to change

ESR – this system is not flexible enough to record and collate the specific paediatric training that our staff require and finding any records of learning is time consuming and frustrating as the system logs you out of the business intelligence section after a short space of time. – we have to keep physical records in paper or in shared excel documents. These require frequent updating as new education/ training/ clinical skills are updated or changed

We need staff to have access to a user friendly digital learning management system so that they can see at a glance what training they need to do. This system needs to have the flexibility built in so that line managers/practice development staff can check individual learning records and add/ remove/ update learning packages for specific groups of staff.. e.g. band 6 paeds HDU staff need different skills and updates to band 3-4 hospital play specialists

Digital literacy and familiarity with the health board digital systems- all staff need some basic digital literacy skills – ideally using standardised and industry recognised competency framework.

What should we think about for the future?

Digitalising all patient records for all staff medical nursing and allied health professionals .

Allowing access to these for patients – for young children, allowing access to these from the person/s who have parental responsibility and then as children reach the age where they are able to make independent medical decisions – for the medical records to be available to them alone. Permission to share these documents with a parent /carer/ next of kin will require consideration of safeguarding/ protection of vulnerable adult/domestic abuse etc protocols.

Improving the standard of hardware used in NHS settings and ensuring that legacy systems are integrated with new digital systems – there is nothing worse than not being able to open/save/edit documents because the pc/laptop you are using is still using office 2016 or earlier