Quality

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Quality Safety Impact on Nursing and
Midwifery Care

• Phelim Quinn
• Director of Nursing,
• Regulation Quality Improvement Authority

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Our changing environment
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Regulated Services

• Childrens Home 54
• Nursing Home 252
• Residential Home 239
• Adult pl agency 4
• Day care setting 41 (164 pre-reg)
• Dom care agency 236 ( 76 pre-reg)
• Res family centre 2 ( 6 pre-reg)
• Independent clinic 22
• Indep hosp/hospice 9
• Nursing agency 23

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New areas of work

• Unannounced hygiene inspections
• Functions of the former Mental Health Commission
• OPCAT (UN Optional Protocol to the Convention
  against Torture)
• IRMER (Ionising Radiation (Medical Exposure)
  Regulations 2000

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Quality Putting it to Rights
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Value Proposition

• "Providing independent assurance about the
  quality and availability of health and social
  care services in Northern Ireland, encouraging
  continuous improvement in those services and
  safeguarding the rights of services users".

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Core Activities

• Improving Care

• Informing the Population

• Safeguarding Rights

• Influencing Policy

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• Health is a fundamental human right
  indispensable for the exercise of other human
  rights. Everyone is entitled to the enjoyment of
  the highest attainable standard of health
  conducive to living a life in dignity.
• CESCR General Comment No. 14 (2000)

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What do we mean by a Human Rights Based Approach
to change

• The process by which rights are made a reality in
  peoples lives by
• Putting the realisation of human rights
  principles and standards at the heart of policy,
  planning and delivery (using a HR lens)
• Ensuring clear accountability throughout the
  organisation
• Empowering staff and patients with knowledge,
  skills and commitment to realising human rights
• Enabling meaningful participation of all key
  stakeholders
• Non-discrimination and attention to vulnerable
  groups

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What the Trusts Say

• NHSCT patient and client centred, engagement
  openness, honesty and respect.
• SHSCT .the high value of an individual and his
  or her relationships, and as a consequence
  facilitates the person in making informed
  decisions about their care, whilst responding
  flexibly and sensitively to their needs.

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What the Trusts Say

• BHSCT we will treat everyone with dignity and
  respect and respecting the choice of service
  users.
• WHSCT openness, honesty and respect for all.
• SEHSCT person centred in their approach,
  respecting individuality and choice

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Rights Based Approach

• Improving the Patient and Client Experience
• DHSSPS 2008