Department of Health and Social Care and Royal London Hospital

“In response to concerns in the department of surgery regarding the quality and content of communications about clinical instructions, an audit was designed and implemented by the junior surgery team. This identified that there was a need for a structured ward round template, and showed that implementation of a structured ward round improved communication on the ward.”

“Nursing staff had no clinical instruction as to how to manage the NG tube A teaching session regarding Nasogastric Tube Placement was devised by the Barts Health Clinical Skills Facilitators and delivered to the teams on the wards by the Ward Managers and Professional Development nurse, and the slides used were shared by email with all staff.”

“The Trust's Induction Policy has been reviewed and revised (August 2020) to ensure that it includes assurances that temporary staff are competent to carry out the care and treatment of the patients they are allocated on the particular shift.”

“A local induction guide has been produced which clearly outlines what is expected of staff working on East Ham ward. Within it are multiple examples of the process of escalation, including the nursing staff being empowered to escalate to Consultants if not getting a response from junior doctors.”