During The Phillips Ives Review launch event which took place on 26 May 2022, we were asked a number of questions by the audience which we committed to providing answers to.
How do we bring quality improvement into this review bringing in the wide-ranging experience of many nurses and Q (Health Foundation)?
We anticipate that all panels will consider the place of QUI in practice, digital transformation, and training. We hope, in the call for evidence, to hear from nurse improvers and the Q community who will have much to offer.
While this Review is in progress we will continue to need to innovate in practice. Will early findings be shared so that we can align with them?
The interim Review findings with resulting recommendations, will be published in September for consultation, this will be the first opportunity to share learning.
How will the Review capture the real challenges and barriers to delivering digitally enabled care?
The calls for evidence, roundtables and interviews will be the ideal opportunity to hear about the challenges and barriers from professionals working across all settings and will be shared with the panels for their review.
I'm interested in why the review is international, can you please clarify?
The Review provides a unique opportunity to learn from international examples of standards and processes for digitally enabled care; prioritisation of digital nurse and midwifery activities as core practice; professionalised nurse informatics roles; speciality education and competency; and capability frameworks.
Will Jules Gudgeon, National Digital Midwife, be involved?
We will make sure we work really closely with Jules Gudgeon, as well as the NHS Chief Midwifery Officer, Jackie Dunkley-Bent, who has provided us with a core list of key midwives to also contribute.
Are the Academic Health Science Networks (AHSNs) being engaged for the Review?
The AHSNs have not been involved to date but we intend to engage with their members as the Review progresses.
Will you work with industry partners on this Review? There is a huge amount of complimentary work that's being done in the digital health sector to support public services.
Yes, industry partners will be invited to participate and contribute to the Review during the roundtables and interim findings consultation.
Are nurses in community and social care settings going to be involved in the Review, and will they be differentiated from primary care nurses?
Staff from all spheres of practice are to be involved in the Review, and The Queens Nursing Institute is identified as a key stakeholder and a means to engage community nursing staff. The Review will include evidence and the needs of all nurses in all settings; it is anticipated that the specific needs of the breadth of staff working across adult social care will be met by the Adult Social Care Technology Innovation and Digital Skills Reviews.
Will this Review include the importance of our clinical leaders promoting digital literacy as opposed to it being limited to the Clinical Informatics team?
We need to await the outcomes of the Review; however, Health Education England (HEE) are commissioning blended learning content for nursing degrees at a number of universities. In some cases, universities have incorporated the Digital Skills Assessment Tool into the curriculum, which is a way for individuals to self-assess against a common and broad digital literacy framework and to identify their skills gaps. The Review might make recommendations on how this tool is used to meet nursing and midwifery needs.
Will the panels have patient representatives with varying digital literacy levels and from different areas of the country?
Yes, patient representatives will be on each panel and will support the attendance and engagement of other patient representatives on roundtable events.
How are you going to ensure that a maternity focussed, midwifery, digital approach is always considered?
The Review will work closely with Jules Gudgeon, the National Digital Midwife Lead for Maternity. It is also seeking to actively encourage the widest contribution to the Review. So, if you have any idea you would like to contribute, please use the channels we have created, to ensure your views are heard and that both nursing and midwifery are considered equally.
Will the Review cover record standards and nursing diagnosis?
Standardisation of nursing documentation including the development of a formal standard and use of standardised terminology, is already part of the current Practice Workstream in Digital Nursing NHS England and therefore is not a part of this Review.
Will the workforce planning elements of the Review include digital leadership pathways?
We cannot pre-empt the Review’s recommendations however, the expectation is that it will provide an understanding of the needs from the digitally- enabled nurse and midwife; those who use technology in the delivery of care; to those who wish to specialise ie. CNIO, CMIO.
How are you linking this Review up with Higher Education Institutes (HEIs)?
HEIs are represented on the Review panels and the board which oversees it. It is anticipated that the Review’s findings will have implications for these organisations, given their key role in the preparation of future nurses and midwives, and the current workforce’s continued professional development.
Will the Review take into consideration nurses from all professions, including mental health, children and young people, acute, community, and learning disability and autism? How will you ensure you reach all these roles?
Staff from all spheres of practice will be involved in the Review, this participation will be monitored. The Queens Nursing Institute is identified as a key stakeholder as a means to engage with community nursing staff.
Will Allied Health Professionals (AHP) be included throughout the Review due to the level at which they work across the system with nurses and midwives? Will the outcomes be shared across other professions?
The AHP community will contribute to the Review. Nurses and midwives work as part of a multi-disciplinary team and cannot be developed in isolation, so this Review may be adapted to inform future profession-focussed reviews.
Can this be the Review where we define and produce best practices guidelines for the term ‘Clinically Led’ and embed this, so it is not limited to medics?
Although this is a recognised issue, we cannot say for certain whether the Review will address it. What it will do, is provide a deeper understanding of how nurses and midwives are prepared having consulted across a breadth of clinicians; this will aid how others look at these questions.
Are there plans to correlate the findings of the Review with the live UK parliament inquiry on digital transformation in the NHS?
The UK Parliament inquiry on Digital Transformation in the NHS will explore the current use of digital technology and examine how it needs to change in order to deliver an improvement in services and outcomes for patients. The Phillips Ives Review will make every effort to include any relevant findings from the inquiry.
Will there be phasing of Review outcomes and recommendations, such as one for change now and one for change in the future?
The Review will determine the needs of the nursing and midwifery workforce to deliver health care in the digital age during the next 5, 10 and 20 years.
Are you aware of similar reviews in other professions?
The Health Education England (HEE) Enhancing Generalist Skills for Medicine has a digital workstream and an Adult Social Care review is being jointly led by NHSE and HEE
Will the Review look at setting a minimum standard of education for a Nurse Informaticist / CNIO, and will you be working with The Nursing and Midwifery Council (NMC) on this for appropriate accreditation?
We should not second guess the outcomes of this Review however, it is reasonable to assume that its findings might determine something similar. In which case, programmes of education will need to be commissioned to deliver these minimum skills.
Does the professional use of social media to advocate, share and engage others form part of this vital piece of work?
We will be using a wide range of different channels and platforms for engagement during the Review including social media and crowd sourcing. As the Review progresses we will update this website with details about how you can get involved and please follow @HEE_DigiReady on Twitter for all the latest news.
Will there be comms materials to support gathering views internally as part of the Review process?
Yes, we will produce communications packs at key points during the Review which will be available to download here on The Phillips Ives Review website.