Why is the Review necessary

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Challenges are

 

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around accessibility and wi fi, making sure you've got the right hardware

 

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to access the clinical systems and the connectivity.

 

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In my world, there's a lot of out in the community as well.

 

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Where it's really important to access that data instantly,

 

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You know, you don't want to be having to go back and find records.

 

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you actually need all that stuff instantly at your fingertips.

 

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When you go to, say, a woman or a baby and their family in the house

 

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training on the system and lots of support.

 

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I think for us it's been about investing the support in

 

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the after the initial training and being there to follow up.

 

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So they understand the changes in the system.

 

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They feel confident and embedding that confidence in people.

 

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that students are brought up with it.

 

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So they have it from being a student nurse and student midwife.

 

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So when they come into the clinical world as a qualified member of staff,

 

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they feel really comfortable.

 

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And it's not something else that they've got to learn to add to

 

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the stress of a busy shift

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I think it's start training around

 

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digital data earlier

 

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in the nurse training, definitely.

 

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I didn't do any of it, so many years ago...

 

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and so it was all new to me when I qualified,

 

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that would be good.

 

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I've had student nurses

 

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come to us and go,

 

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‘we’re on a drug chart?’

 

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They’ve never ever used system like EPMA

 

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So there's that understanding.

 

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Also the infrastructure of services.

 

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WiFi is the biggest niggle

 

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we have at the moment.

 

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So we're in procurement for a service

 

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WiFi refresh

 

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because if the infrastructure

 

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doesn't work,

 

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the systems that we put in

 

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aren't going to work

 

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and it's going to create more time

 

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and effort to nurses

 

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and you end up duplicating things.

 

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So I think training in that

 

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at the beginning would be good.

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So I think we

 

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need to work on improving the digital skills of the workforce.

 

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I think the sort of the younger

 

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new people coming up are probably a bit more digitally skilled

 

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than some of the older nurses or staff would be now

 

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But actually I worked

 

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with people who are quite newly qualified to be quite scared of digital as well.

 

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So I think it's about actually getting the training that works for them.

 

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So it should. Group training is great.

 

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But actually, it's making sure that training is appropriate.

 

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So initially, I think we've, historically

 

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we've given the digital skills training, but it's been how to do a Word document,

 

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how to do an Excel sheet.

 

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Well, actually, when we rolled out our digital system

 

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we realised that actually just the basics of using a mobile device,

 

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how to connect onto the internet, how to get onto the system,

 

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how to find the icon and the basics and the like.

 

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You know what?

 

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We don't always need to use an Excel spreadsheet.

 

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So target your improving your digital skills to what you’re rolling out

 

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Oh, right.

 

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I would like everything to be digital.

 

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I know that is like the future is isn’t it

 

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I would like it that we what

 

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we do is easy and it's simple but actually works for

 

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the people using it and benefits the patients

 

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So I read somewhere quite recently that if you have to train for longer

 

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than 10 - 15 minutes on the system, it's not the right system.

 

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and it’s too complicated.

 

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So the biggest change for me would be get users involved

 

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as in the system, let them help you test it,

 

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and they then embrace that change and it works

 

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for them.

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The biggest challenges are accessibility

 

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and not having inclusion at our forefront in our minds.

 

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I think we are

 

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excluding members of our workforce

 

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through providing all this

 

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amazing technology

 

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without actually upskilling them properly, giving them the support that they need.

 

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And I've had

 

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recently I've had a discussion with someone that actually said

 

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that midwife left after 30 years of being in the NHS

 

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because they were an expert in that field, they got to

 

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the top of where they needed to be.

 

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They felt so confident and competent in their own abilities.

 

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And then introducing the new technology made them feel

 

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 that suddenly they were at the bottom, at the bottom of their game

 

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and they didn't want to be in that position where they weren't

 

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the most competent and they had to go to their juniors for help and support.

 

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So they felt that they'd rather leave the NHS than take on this new challenge.

 

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And I think that's our failings as digital leaders, not supporting them properly

 

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and providing them a safe space

 

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and empowering them to say help me,

 

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or empowering with the tools to be able to help themselves

 

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to further develop in this, make it actually a safe place to

 

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go to and do that.

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So I think first of all, the barrier for me

 

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is the technology they're working with today is very much old legacy

 

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technology, it doesn't really kind of follow them on their journey of the job

 

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they're doing today.

 

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So it creates a big barrier for them and the burden of time

 

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having to use legacy systems that don't meet their needs today.

 

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So I think that's the first barrier is looking at technology

 

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that actually keeps up with the demand of speed, which the nurses today

 

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and I'm working with them to build the best possible

 

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technology pathways supporting their needs

 

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So I think digital for me, everybody should be digital, not just technologists.

 

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So it's getting them the right to the training to look at working

 

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with modern user interfaces.

 

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We do it every day with Facebook and Apple, iOS devices

 

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and Android devices, but it's giving people the confidence

 

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to interact with the technology and get the best of the technology.

 

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I think also as well, everybody in the NHS needs to be data driven and again

 

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shouldn't be afraid of that

 

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and we should be giving them the right training

 

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so they can embrace that, a new stage to make the best decisions possible.

 

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One change I could make is

 

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I think for me it would be remove the burden of the latest technology

 

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because having witnessed it myself, it's such a time

 

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barrier burden for nurses, midwives.

 

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So I would look at completely replacing all of that with a magic wand and

 

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making it easier for them.

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That's a really interesting question.

 

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I think there's something around the feedback loop.

 

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So making it easy for staff to understand

 

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why they're doing what they're doing and why digital is important.

 

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Feeding it back so they can genuinely see how it's

 

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going to make a difference to their patients.

 

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I think at the moment it's seen as such a separate identity that staff

 

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don't really take on board why it's meaningful for patient care.

 

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So finding a way to visualise and bring it back, like Florence Nightingale did

 

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in the Crimea war is bringing it back so staff understand why this

 

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is important to the patient.