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Nicky Morton, Senior Nurse for Clinical Procurement and Dee Roach, Executive Director of Nursing and Quality Lancashire Care NHS Foundation Trust share their experiences of bringing nursing leadership into procurement. 

Lancashire Care NHS Foundation Trust (LCFT) provides health and wellbeing services for around 1.4 million people. Services provided include community services such as district nursing, health visiting, podiatry, dentistry and prison healthcare as well as inpatient and community mental health services.

The Trust covers the whole of the county and employs around 7,000 members of staff across more than 400 sites and extends to sites in St Helens and Liverpool.

Dee Roach, Executive Director of Nursing and Quality says: 蜜桃直播淎s Executive Director of Nursing and Quality and the lead for Community and Mental Health Trusts on the National Clinical Reference Board, I feel passionate about nurses driving the efficiency agenda within LCFT.

蜜桃直播淲ithin LCFT I knew that in spite of ongoing review by managers and procurement experts there were still efficiencies to be made by reviewing and sometimes changing clinical practice and nursing staff are vital to this process.蜜桃直播�

Dee felt that senior clinical leadership and questioning would: lead further engagement with clinicians in these important procurement decisions; secure value for money in the procurement of clinical products; increase standardisation of products and equipment; and improve both patient safety and staff safety.

Making the case

Dee made the case for a Senior Nurse for Clinical Procurement post and the post was agreed as a pilot for 2.5 days per week from September 2015 to February 2016 in order to scope the business case. Nicky Morton was seconded to the role.

Nicky Morton, Senior Nurse for Clinical Procurement says: 蜜桃直播淭here was a nursing voice in procurement previously but it relied on personal relationships between clinicians and procurement colleagues 蜜桃直播� there was no oversight.

蜜桃直播淒ifferent areas of the Trust tended to do their own clinical procurement but there was no clinical overview trust-wide. Dee蜜桃直播檚 vision for this role has ensured Executive Nursing leadership which gives me a lot of credibility with nursing staff.蜜桃直播�

Achievements so far

Nicky蜜桃直播檚 role was set a target to find approx. 拢85,000 of savings during the five month pilot, but it was acknowledged that potential savings were likely to be much more if a full time post was funded. From March 2016, a full time secondment for up to 2 years was agreed.

Within the first three to four months of the post, there were over 拢135,000 worth of efficiencies identified by Nicky from key projects. Some of these projects have already been implemented, others are still in the design phase and further projects will emerge throughout the year.

Key projects to date have included:

• standardisation of advanced wound dressings
• review of the use of continence products in the inpatient setting to ensure that the right patient has the right product at the right time
• bandages and tubular bandage reviews
• standardisation of single use sterile instruments
• direct product switches eg. sterile saline
• enteral feeding and suction consumables review
• evaluation and implementation of safer sharps legislation
• clinical evaluation of products

Dee says: 蜜桃直播淚 get amazing feedback about Nicky蜜桃直播檚 interventions 蜜桃直播� these projects are really exciting our workforce. Nicky蜜桃直播檚 role and engagement with colleagues is fantastic and builds confidence in the decisions we are making and the products we are selecting.

蜜桃直播淐olleagues trust that we aren蜜桃直播檛 choosing cheapest product but the right product.蜜桃直播�

Engagement with colleagues

LCFT services are divided into four networks: specialist services (e.g. secure mental health and secure offender health); adult community services (e.g. physical health services and older adult mental health services); children and families; and adult mental health services.

Nicky has worked closely with each network and has been supported by colleagues in Procurement and Finance to understand the cost pressures and clinical practice issues which need to be addressed through her work.

Improved engagement with clinicians

Nicky says: 蜜桃直播淐linicians feel optimistic when they feel their views are being listened to. Everyone wants the best and safest patient care. We are evaluating products through this process and making sure the decisions we make are right for each area of services as we know standardisation may not work for all areas.

蜜桃直播淲e factor in evaluation days and invite nursing staff to attend 蜜桃直播� practitioners feel involved, know their views are being listened to and have a voice in decision making.蜜桃直播�

Clinicians from across the service now approach Nicky with ideas for new projects when they see opportunities to reduce waste or improve efficiencies and value for money.

Nicky has also joined the National Clinical Procurement Specialist Nurse Network which allows LCFT to share their successes and learn from other Trusts.

Sharing success

The success of this role has been attributed to a number of factors. As the post is a secondment, it will allow all nursing staff within the organisation to have the opportunity to make their voices heard in procurement decisions. Additionally, as the role sits within the Nursing and Quality Directorate it has visibility with nursing staff.

蜜桃直播淣icky also works collaboratively with colleagues in Networks and Corporate Services to set and achieve shared objectives whilst ensuring senior clinical leadership in decision making.

Dee concludes: 蜜桃直播淣icky regularly reviews projects and shares these learnings widely with those staff who have contributed to the successful projects. This builds on the engagement and collaboration with nursing staff within the Trust and nationally to drive the quality and efficiency agenda.

蜜桃直播淯ltimately nursing leadership within this work has been instrumental in getting staff engagement 蜜桃直播� they see the work as clinically led and want to support it.蜜桃直播�