Role of the employer

trainee doctors

14 / 4 / 2014 Midnight

Employers need to assure their board that the quality of care and experience not only meets the desired standard, but is continually improving. This is achieved through a variety of employment and workforce practices. There are several priority areas for the employer which, when reviewed against the expectations of the service, can provide assurance of the competence of their whole workforce.

1. Recruitment: clear expectations, the use of employment checks and induction.

2. Supervision: systems in place to provide supervision to individuals where appropriate and for the overall care being delivered to patients.

3. Continuing Professional Development: to ensure all staff continue to meet the requirements of the role they are employed to undertake.

4. Clear standards, expectations and boundaries: to ensure appropriate delegation and assure individuals do not operate beyond their scope of competence.

5. Appraisal: using the many different tools available to support the assurance process.

6. Policies: embedded into practice that support staff to challenge issues of concern and deal with unacceptable behaviour or poor standards of care in an appropriate way.

These actions help to create a local system that puts patient safety at the heart of employment practice. We know there is compelling evidence showing links between high levels of staff engagement and overall organisational effectiveness, so the actions need to be underpinned by a set of behaviours that create a culture of patient safety and continual improvement in quality:

  • Strong leadership.
  • Environment where staff are happy to raise concerns.
  • Staff engagement drives service delivery.
  • Effective team working and a team ethos to delivering care.

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