Welcome To North West Play Benchmarking Celebration Day

1
Welcome To North West Play Benchmarking
Celebration Day

• Wednesday 16th November 2005
• University of Central Lancashire

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant CMMC November 2005
2
Paediatric Clinical Benchmarking Lead
Facilitator

• Karen Phillips

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant CMMC November 2005
3
Making Quality Changes
University of Central Lancashire

• Frances Binns
• North West Paediatric Play Benchmarking
  Facilitator UCLAN
• Therapeutic Specialised Play Consultant
• CMMC

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005
4
Context

• Clinical Governance aims to make sure that
  healthcare
• organisations develop culture, systems and ways
  of
• working which assure that the quality of care is
  at the
• heart of the organisation at every level.
• The Governments Patient and Public Involvement
• Agenda has contributed to the now strong and
  widely
• held view that involving patients, carers and
  staff in
• decisions about healthcare at both personal and
• strategic levels is fundamentally important to
  the
• improvement of health services, as well as being
  a basic
• right. .

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005
5
Context

• The third standard of the National Service
  Framework for Children, Young People and
  Maternity Services (2004) states that children
  and young people and families receive high
  quality services which are co-ordinated around
  their individual and family needs and take
  account of their views.

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005
6
Annual Report 1995
Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005

• We were invited by the core group to benchmark
  play as a specialist sub -group in recognition of
  our professional knowledge and experience.
• We set set out with our aims as follows -
• To introduce and understand benchmarking
  practice
• To establish ground rules within the group
• To adopt the core group vision
• To identify areas for benchmarking
• To establish and maintain communication with the
  core group Via Myra Singleton and Judith Ellis
  held in Manchester.
• Our emphasis will be upon the value of
  Benchmarking within the group in developing best
  practice for the good of our clients
• Approximately 10 play practitioners attended
  initially
• From Manchester, Oldham, Tameside, Burnley
  ,Blackburn, Blackpool, Ormskirk, Preston.
  Wigan,Stockport.

7

• Play - Vision

To nationally identify best practice in order to
facilitate continuous improvement in paediatric
care though comparison and sharing
Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005
8
NAHPS
Each member of the National Association of
Hospital Play Staff is accountable for his/her
practice 1. At all time safeguard the
well-being and interests of the children and
their parents 2. Take every reasonable
opportunity to maintain and improve professional
knowledge and competence
Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005
9
This professional group adhere to the North West
Play Practitioners Benchmarking ground rules.
Ground Rules

• Membership agreed by Trusts/healthcare
  organisations and University of Central
  Lancashire .
• Six bi-monthly meetings to be held at Sharoe
  Green Conference Centre Preston.
• All Play Practitioner representatives for each
  designated play benchmark are expected to attend.
• Benchmarking facilitator to attend all meetings
• with a defined agenda and identified benchmarking
  topic to score and collectively discuss.
• Practitioners/guest speakers will be invited to
  attend relevant topic meetings.
• All Practitioners to be open to comparison and
  willing to share practice.
• Practitioners will score benchmarks and make
  comments relating to the completed benchmarks by
  the dates stated.
• Practitioners to disseminate benchmarking
  information to the relevant colleagues/managers.
• Specific information re practice to be
  requested directly by individual play
  Practitioners.
• Minutes collated and to be forwarded to all
  members and apologises for attendance
• To be collated on the University of Central
  Lancashire UCLAN database.

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005
10
Play staff's Comments

• What have I got to share and the
• childrens hospitals will always be the best
• And asked the question What is benchmarking?
• Whose bothered anyway?
• I am only a play specialist/nursery nurse

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005
11
The Way Forward

• Ann Foley
• Principal Lecturer UCLAN

UCLAN has always been really happy to support
all the initiatives and development work to have
come out of Benchmarking . Financial demands are
now driving the changes but that the group should
harness all the excellent work that has arisen
out of Benchmarking relating to Play and focus on
how this has made the experiences of children and
their families going into hospital much
better. Also, that the networking opportunities
have allowed play specialists and play workers to
learn from each other and disseminate best
practice.
Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant CMMC November 2005
12
Thanks

• UCLAN Head Bernard Gibbons
• Support Kathy Hale Royal Preston Hospital
• Play Benchmarking Facilitators
• Dr Judith Ellis MBE and BM Lead
• Myra Singleton
• Michael Bland BM lead
• Carolyn Zajciw
• Berenice Posthlewhaite
• External verifier Frances Binns
• Karen Phillips BM lead paeds
• Frances Binns
• External verifier Berenice Postlewhaite
• Support
• Sue Hooton Principal Lecturer UCLAN
• Ann Foley Principal Lecturer UCLAN

• RCN Benchmarking Group
• Val Urvine Neonate Bm lead
• Anna Morris paeds BM lead
• Jane Patel Neonate BM lead
• Eugene CAMHS BM lead
• Nurse/department managers
• Pamela Barnes Action for Sick children ASC
• HPSET
• NAHPS
• AHP clinical supervision
• DOH
• Central Manchester Manchester Childrens
  Hospitals NHS Trust
• GMSHA
• EVERYONE

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005
13
Carolyn Zajciw former play benchmark
facilitator
Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005
14
Behind the Scenes

• Finance Accountant Janet
• Administrators
• Andrea
• Linda
• Betty

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005
15
Benchmarking Administrators THE BOSS Betty
Hampson
Hi Gang Just to say how very sorry I am not to be
able to attend the meeting, I was really looking
forward to seeing you all (and I will miss
the cakes!!) I just wanted to say how much I
have enjoyed doing the Benchmarking and how much
I have learned from it. I thought children just
'played' but can now see how valuable you all are
when youngsters are away from home in hospital,
because it must be a very frightening experience
for some of them. Also Thank You for your
patience when things have not gone quite to plan
and you have not received your completed
Benchmarks on time. It was nice to know that you
realised things do sometimes go awry (and I am
missing the cakes!!). I hope that some of you
manage to keep in touch and keep up the good
work. Networking and passing on information and
good practice must be one of the best ways to
improve the service (and having cakes of
course!!) I was looking forward to seeing the
Clown Doctors as well. I saw them on TV a while
ago and was very excited when I knew they were
going to be there (hope they don't miss the
cakes!!) Well keep up the good work it was
lovely working with you all. Now you can all go
and have your cake!! Love Betty

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant CMMC November 2005
16
Areas of the Hard work

• Barrow In Furness DGH
• Blackburn DGH
• Blackpool DGH
• Burnley DGH
• Central Manchester PCT
• Cumberland DGH
• Derian House Hospice
• Darlington Community PCT
• Durham DGH/community PCT
• Eden valley Hospice
• Fairfield Bury DGH
• Francis House Hospice
• Isle Of Man DGH
• Leighton DGH
• Macclesfield DGH
• Manchester Childrens
• North Stafford DGH
• Ormskirk Southport hospital DGH
• Royal Oldham DGH

• Rochdale DGH
• Royal Lancaster DGH
• Royal Liverpool children's
• St Mary's DGH /children's
• Stepping Hill Stockport DGH
• Tameside DGH
• Trafford DGH
• Walton DGH
• Whiston DGH
• Wythenshawe DGH
• Wigan DGH
• Wrexham DGH
• Interested Areas
• Belfast childrens
• Bolton DGH
• Glan Clwyd Wales
• Great Ormond Street Childrens
• Warrington DGH

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005
17
The Old Way

• Resources - Factor 1

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005
18
Achievements
Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005

• 5 Robust benchmarks
• for all areas e.g DGH, children's ,PCT and
  Hospices
• improved designed in Essence of care format
  letters more effective scoring
• considering child/YP families and USERS
• toys equipment , environ security safety
• inclusive of all ages
• equality and diversity
• health safety
• infection control policies standardised
  addressing DOH
• addressing DOH
• indoor and outdoor play recreation areas
  considered e.g multi sensory
• prep to hospital discharge
• included pre admission to discharge
• including community
• responding to informed consent
• developed better pre - admission MDT nurse led
  clinics
• psychological prep and Diversional therapy in
  collaboration with pain management
• including all MDTdisciplines
• standardised practice

• Play practitioner/resources a generic term
  agreed inclusive of all practitioners.
• Help Standardised training recruitment of
  play specialists
• identified all play services rely on charitable
  funding nationally
• Audit of students etc developed with devised
  teaching packs
• Teenager care
• The first teenager benchmark
• devised by consulting with 12 year and above from
  the north west
• standardised and improved teenager provision
• Included in all BM
• training/learning development
• Documentation /record keeping
• audit
• All Benchmarks devised to consult with
• children teenagers, parents/ families and multi
  professionals
• reflection
• Play Included in paediatric pain management
• First Contact

19
The Evidence
Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant CMMC November 2005
20
Hard at it !!!
21
Evolution

• The Platt Report - play in hospitals
• NAWCH Charter now ASC - prof
• UNICEF - children's right to play
• NMC regrading - prof recognition
• The Children Act - age appropriate information
  etc
• Save the Children - study
• Quality of Play Management -audit
• Welfare of children and young people -teens
• NAHPS - professional body/training
• HPSET - specific training /registration/port
• Preparation to hospital - pre -admission
• NHS Plan - make a difference
• Pain Management- distraction therapy
• Informed Consent - psychological prep
• Equal opportunities act -multi cultural
• disability discrimination act -special needs
• The Play Charter - everywhere clinics etc

• Holistic care of the child family -sibs
• Health safety -risk assessments
• Infection Control - toys/equipment policies
• Special needs of code of practice - req.
• Discharge planning -community
• Quality /Benchmarking - standards
• Essence of care - record keeping
• NSF paeds neonate, PICU - prof req.
• Modernisation -change
• Clinical Governance - evidence
• community palliative care -develop
• Child Protection - staffing
• The Kennedy Report - consult/participation
• Every Child Matters - partnership
• Lifelong learning -prof pers develop
• Improving working lives -
• Standards for Better Health -quality improvement
• Agenda for Change - Professional recognition

22
More
Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005

• Professionalism improved
• BM rough guide
• checklist for time effectiveness
• guidelines designed
• evaluated and recorded
• generic terms e.g play practitioner
• Accountability
• inclusive equality and disability
• holistic /patient journey
• communication /partnership
• multi disciplinary working
• collaborative /support
• Training / lifelong learning
• training included in HPS and nursing courses
• mentorship/supervision
• management and leadership
• Action plans
• research audit
• Documentation

• Charitable Organisations - liaison
• Starlight Foundation
• www.starlight foundation co.uk
• Childrens Wish Foundation
• Rays of Sunshine
• Theodora Clown doctors
• POD
• Action for Sick Children

23
Changes
Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005

• Play practitioners come and gone
• Staff/resource changes
• Lack of Support
• Lack of financial resources to fund
• Time
• Lack of understanding

24
Presentations

• 2000 Isle of Man Annual Paediatric conference
• 2001 The Way Forward Burnley
• 2002 Central Manchester Manchester Children's
• 2003 What is Benchmarking ? Harrogate
• 2003 Quality changes APBN Birmingham
• 2004 National Benchmarking Conference Preston
• 2004 Great Ormond Street London
• 2004 The future of paediatrics APBN Cardiff
• 2005 Why Benchmark Huddersfield

25
Play Specialist DGH Perspective

• Hi Frances just a quick note I hope you will
  forward on to the group. I left Leighton hospital
  last week to take up a position in a school, so
  no more benchmarking for me and I wanted to say
  goodbye to you all.
• I shall miss the support of the group and I know
  that the play service at Leighton has improved
  and benefited greatly from being part of the
  group and benchmarking  their practice.
• So now I move on to a new chapter of my career
  and I feel my time as a play specialist has not
  been wasted as my five year old reminded me the
  other evening whilst I treated his painful
  verruca. He shouted out " Mummy stop I need some
  distraction!!!!!!" so maybe I did get the message
  over after all !!!
• I'm sorry I couldn't be with you all but keep up
  the fight for quality play services and enjoy
  this celebration of benchmarking.
•                                                   
                     take care
•                                                   
                             love
•                                                   
                                   Jayne
  Lyall-Brookes

26
Play Services Manager Perspective Susan
Fairclough
Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant CMMC November 2005
27
Paediatric Senior Nurse Perspective

• Play Benchmarking
• As a paediatric nurse and now a manager of
  paediatric areas I have always encouraged and
  supported the play staff to attend the play
  benchmarking meetings. The outcomes from these
  meetings have not only been beneficial to the
  play staff but also the nursing and multi
  disciplinary teams and most of all the children
  and families.
• Areas of development from the play benchmarking
  meetings have included standardisation of health
  and safety guidelines, development of play
  staffs ability to undertake risk assessments,
  development of play profiles/care plans for long
  term/complex need patients, development of play
  staffs knowledge re distraction/diversional
  therapy.
• I have, on occasions attended some of the play
  benchmarking meetings and found them both
  enjoyable and educational to the play staff and
  myself. All members of the group are enthusiastic
  and passionate about their job and improving
  services for the children. The communication and
  network between group members can never be
  forgotten and I am sure that members of the group
  have made good friendships and will continue to
  network with each other and share information.
• I hope that the group members will continue to
  meet and continue their hard work. The play
  benchmarking group has helped to further develop
  the recognition of play staff as a professionals
  within their own right.
• Yvonne Tunstall
• Senior Childrens Nurse
• Oldham and Rochdale Pennine Acute Trust

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant CMMC November 2005
28
What is Benchmarking ?Student HPS Nursing 2005

• Documentation /Standards improving services in
  hospitals
• Trying to ensure standards in hospitals
• Models of good practice
• Looking at an overall performance of other
  hospitals/ wards and the NHS
• Comparing findings and evaluating them
• Sharing with other members of staff surrounding a
  topic to improve and implement the current
  service.
• Getting together with other staff to discuss and
  how to approach things.
• Improve increase services
• Finding out the best practice available and
  implementing it
• Aim to improve the level of service and
  management skills needed

• Auditing practices finding good practices and
  ways to improve services
• learning about new things that are happening
  around the world in other hospitals
• All play specialists coming together.
• Research implement a range of factors based
  around play in hospital
• A way of providing support in terms of
  facilitates/equipment.
• Providing a back up mechanism to support
  HPS/play teams in arguing with management the
  needs equipment required to provide and
  efficient effective play service
• Highlights documentation needs
• Frances Binns
• North West Play Benchmarking Facilitator UCLAN
• Therapeutic Specialised Play Consultant
  November 2005

29
Consultation 2003 -4
Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005

• With
• Play service managers
• Play specialists /play practitioners
• Within District general hospitals
• Children's Hospitals
• Children's Hospices
• Paediatric community services /PCT
• Nurse managers
• University nursing tutors
• Health researchers
• Multi disciplinary Benchmarking leads

30
Who consulted ?

• Sue Hooton
• Principal lecturer UCLAN
• Former ENB DOH
• Frances Binns
• NW Play Benchmarking Facilitator UCLAN
• Therapeutic Specialised Play Consultant CMMC
• Consultation/Participation Officer Greater
  Manchester Strategic Health Authority

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005
31
Rationale

• To achieve an holistic view of how play
  practitioners and healthcare professionals
  perceive the quality of play in paediatric
  healthcare since participating in paediatric
  play Benchmarking.
• Including the
• Professional role
• Quality clinical practice
• Quality Improvements
• Training /learning required
• Resources required

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005
32
How it was undertaken?

• Via 1 1 interview
• Questionnaires via post and hand
• Focus groups
• Post it note participation

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005

33
THINKING OF WAYS IN WHICH YOU HAVE DEVELOPED YOUR
PLAY SERVICESQ.2 What have been the 3 most
inhibiting factors?

• Poor resources/funding
• It not being seen as a priority by
  managers/medics.
• Not distinguishing overtly between therapeutic
  play and specialised play
• Time
• Lack of understanding from staff
• Poor cross departmental communication (varies
  greatly)
• No set documentation being used
• Ward staff unsure of the service
• Not being recognised as professionals
• Trying to make parents more aware of the service
  on offer
• Communications breakdown
• No e-mail access at present
• Staff being asked to be involved in many
  projects, schemes and tasks (limited staff,
  resources and time)

• No consumable budget for Play Personnel
• Users views and unable to improve service
• Staff
• Things being stolen
• Lack of Health Safety Guidelines
• No support in playroom
• Shortage of staff
• Lack of respect
• Limited hours
• Difficulties in implementing change
• Lack of suitable rooms to use
• Breaking down barriers with managers
• No hospital play specialists available at
  weekends evenings
• A better play scheme staff at other hospitals
  on more pay
• Too many meetings not enough time to fit
  everything in I want to achieve
• Too many meetings but need them to move forward

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant CMMC November 2005
34
THINKING OF WAYS IN WHICH YOU HAVE DEVELOPED YOUR
PLAY SERVICESQ1. What have been the 3 most
enhancing factors?

• Benchmarking nationally
• Play specialist training
• Pain Management and Divers ional Therapy
• Special needs
• Ethnic equipment
• Young persons equipment
• Moving/having a larger play area
• More recognition of my role by some staff
• Focus group teenagers
• Two staff on ward ad hoc
• Development of teams for support amongst play
  specialists
• New outdoor play area
• More staff than recent years
• All play service in one building

• Manager (new) more play friendly
• New adolescent room
• More special needs toy equipment
• More cover in paediatric A E
• Support of managers
• Team work (support)
• Increased confidence
• Liaison with MDT
• Community work
• Re organisation of art room/play rooms
• Setting up of multi sensory room
• Starting up groups with therapists (physio) to
  include play
• Less children are sedated on department when play
  specialists is employed, saving on bed space and
  cost of medication (sedation drug)
• Working as a team leader improving myself,
  personal development etc
• Childrens recreation

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant CMMC November 2005
35
THINKING OF WAYS IN WHICH YOU HAVE DEVELOPED YOUR
PLAY SERVICESQ1. What have been the 3 most
enhancing factors?

• Innovative staff
• Benchmarking Regionally Play Services
• Setting a standard of all staff obtaining
  Hospital Play Specialist Courses
• Encouragement
• Training
• Opportunity
• Time with the children bringing stability and
  increased understanding of their individual needs
• Keeping up to date on modern thinking strategies
  in connection with developing the whole human
  being
• Passing on knowledge of individual needs of
  children to students/other professionals so they
  can have better understanding
• Support from Ward Manager
• The development of documentation
• The recognition of the need to develop the play
  service

• Being part of a documentation team to improve
  play service documentation
• Health Safety Link person, both play department
  and unit
• Developing my unit i.e. more child friendly,
  preparation, distraction, overall therapeutic
  play
• Training and development, registration and re
  registration of play staff. Training courses and
  study to enhance evidence based practice
  including benchmarking
• Business plans and play strategy and bids
  enhanced, provided play input into new areas
  including x-ray, endocrinology and Units. Also
  service level agreements with CAMHS
• PDRs appraisals and individual development,
  identifying strengths and weaknesses. Also having
  away days and play conference

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant CMMC November 2005
36
THINKING OF WAYS IN WHICH YOU HAVE DEVELOPED YOUR
PLAY SERVICESQ3. Over the next year, what 3
factors will be necessary to assist you in
developing your play service effectively?

• Revenue Budget for equipment/toys
• Increased funding to enable 7 day service 7.30
  9.30pm
• Increased working with children/families
• Continued training
• Opportunity/time
• Better cross departmental communication
• Support from play staff and ward staff
• Benchmarking
• Being recognised as a professional by other
  professionals
• Revenue and access to endowments
• WTE staff establishment increase needed for
  ward/dept. areas and projects/schemes
• Internet e-mail access
• Professional recognition via Government/DoH

• Promoting ward
• Bigger playroom/adolescent room
• Support from management
• Promoting our service
• Policies
• More hours of play cover
• Pre assessment clinics

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant CMMC November 2005
37
Play Practitioners Outcomes Of Play
Benchmarking 05

• Practitioner Views
• Good friends / Positive relationships
• Good networking/communication
• Openness to share didnt in early days
• Not competitive
• Participate/inclusive
• Honest / Integrity
• Got evidence based practice
• Supports KSF/PDR
• Clarity/understanding
• development of the role
• autonomy
• Marketing the service

• Developing better teaching for students /staff
• Documentation improved
• Gained new ideas
• Eureka moments !!!
• Leadership
• Mentorship
• Learning development
• Vision
• Developing/improving the play service
• Mentor other play specialists
• Participate and develop at other hospitals
• Influence managers

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005
38
Working Together

• Structured none contact time- to measure practice
• Motivation
• Action Plans developed
• Look at work from a different perspective
• Look at it holistically
• Improve Clinical Practice

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005
39
Facilitators Perspective
Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005

• Travelled far and wide
• Demonstrating
• Accountability
• Bravery
• Clinical expertise /Commitment
• Devotion
• Empathy
• Fantastic
• Gratitude
• Honesty
• Humour
• Initiative
• Justification
• Kindness /kinship

• Leadership
• Motivation
• New ideas /networking
• Opportunities
• Professional personal development
• Quality
• Respect /reflective
• Sharing /sustainability
• Teamwork
• Unity /user views
• Vision
• Worldliness
• xtra special
• Yield positive results
• Zest

40
June 2005 NAHPS Report
Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005
Dear Emma Thank you for the request for the
North West play benchmarking update .. 
    The group is continuously growing with
interest from District general hospitals ,
Warrington have joined this year, Trafford , Glen
Clwyd are interested, Royal Belfast and community
play specialist from within the North West.   We
have supported and networked with other areas and
hospitals commencing benchmarking e.g. Great
Ormond Street where they have successfully
compiled one benchmark and are assessing the
outcomes. We were kindly invited to Bolton
Hospital Play specialist course this year, where
the student play specialist warmly received
benchmarking and saw the value. They expressed
how it is important for play specialists to
continue to benchmark their practice and for us
all to look to standardising best practice to
continue to develop the profession.    It has
been evident from looking at benchmark outcomes
that we meet an average C throughout the North
West with in the continuum with an emphasis on
improving documentation, equality and diversity
of service users and relevant training/learning
development specific to the actual benchmarks. It
is recognised the professional role is constantly
increasing with added business pressures, due to
improved recognition of the knowledge and skills
play specialist have and DOH standards
recommendations . With the next year hearing
how children, young people and families consider
the benchmarks and what they perceive has best
practice by participation and consultation.
Throughout the year we have included reflective
practice identifying how play practitioners have
found benchmarking has developed their
confidence, definitely improved practice ,
developed policies, audit tools etc and created
a robust networking scheme,  good support ?peer
supervision and life long learning opportunities
and improved the perception of the professional
.role .   Has a benchmarking facilitator It
appear I  am rang weekly by play specialists,
paediatric managers, student nurses, university
lecturers from throughout for support,
information , advise, re benchmarking and now
allied heath professionals who are enquiring.
Isn't this more evidence of the excellent
work play specialists are providing and improving
continuously.    

• Which sadly got lost when sent to NAPHS

41

•   Play specialists/practitioners have
  demonstrated by promoting and sharing
  their practice e.g. play specialists have
  presented their excellent effective work on
  consultation, audits of their current practice,
  multi sensory provision, involvement
  collaboratively with complimentary therapies ,
  teaching posters re the role of hospital play
  specialists and many more . 
•  
• Plus supporting clinical governance e.g. via effec
  tive leadership , patient public consultation by
  consultation with children, young
  peoples, families and professionals inclusive of
  ethnicity and diversity. Also addressing the NSF 
  for example  by working collaboratively within
  the paediatric  pain IV , first
  contact benchmark  and the psychological prep.
  distraction and preparation to hospital and
  discharge. 
•  
• It was a pleasure  for nursing staff to express
  at the North West managers meeting of
  approximately 40  paediatric managers . Due to
  nursing staff and managers attending play
  benchmarking meetings .  
•  
• That the nursing staff felt NW play benchmarking
  has developed an excellent model of how they
  benchmark and reflect to help share practice. It
  was suggested they should look towards
  following the play benchmarking model.
•  
• Well done to all play practitioners who
  participate in benchmarking isn't this wonderful
  evidence of leadership and professionalism. 
•  
• Finally this year as had a distraction throughout
  the meetings caused by Agenda for change where
  this has been discussed, where benchmarking can
  provide evident of the professional and intense
  evidence based practice of the work that they
  do. It also supports the core dimensions of
  Knowledge and skills framework to help play
  practitioners to have the evidence to show the
  levels of the work they carry out on a day to day
  basis and meeting the indicators.
•  
• May I take this opportunity to express my thanks
  to all play practitioners who facilitate and
  participate in benchmarking is isn't inspiring to
  see the high standard of professionalism and true
  commitment to play specialism  and the quality of
  the work. Thank you to everyone to quote
  Michael Bland former Benchmarking team leader
  University of Central Lancashire  you are the
  children 'champions ' 

Frances Binns   North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialist Play
Consultant CMMC  
42
External Verifier
Berenice Posthlewaite

• I am truly sorry that I am not able to
  participate in todays celebration of
  Benchmarking in the North West.
• In my experience the work which is undertaken
  within the scope of the Benchmark agenda is
  pivotal to endorsing the need for effective
  standards for Neonates, Children, Young People
  and their families/carers. Benchmarking allows
  professionals to translate Quality of practice
  into something that is meaningful and effective
  in bringing about change and development. It also
  empowers children, young people and their
  families to be involved in a variety of ways,
  ensuring that their voices are heard at different
  levels of the organisation.
• Benchmarking, in my opinion, fully underpins the
  DOH Standards for Better Health. The progress
  made by the teams involved in Benchmarking
  supports the rationale that Standards for Better
  Health has at its heart, the development of safe
  high quality care as we continue to make progress
  in developing a modern National Health Service
  (John Reid, July 2004)
• What more can I say other than to wish you all
  every success and a really enjoyable day
• Kind regards  
• Berenice

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005
43
Action for Sick Children

• Pamela Barnes

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant CMMC November 2005
44
CHAI DOH
Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant November 2005

• Children/yp /parent satisfaction
• Show evidence of how the Child family is
  involved in improving care.
• Participation in developing play benchmarks and
  scoring
• Focus groups
• complaints analysis
• Record of incidents
• Record keeping
• Show staff involvement
• Evidence of education
• link to PDPS/KSF
• Proof of ownership
• Evidence of sharing practice
• Meetings recorded
• Protocols. guidelines policy and action plans
• Evidence of audit
• Evidence of comparing benchmark score with other
  areas
• Demonstrate what we did previously compared to
  now i,e documentation
• How we adapt practice after looking at the other
  areas of practice .

45
Michael Bland s View

• Therefore, what can we claim to have done in the
  past ten years? Well, I have neither the time nor
  the energy to try to archive that volume of work.
  In essence, I think the major achievements that
  we can all be proud of are the following
• Established a three proactive healthcare groups
  of professional (Childrens Nurses, Neonatal
  Nurses and Play Specialists)
• Put all three disciplines on the Map,
  literally, certainly in the North West
• Commanded the acknowledgement and respect of
  other healthcare professionals
• Provided a broad clinical supervision framework
  for all its members
• Drawn the best practice standards for an
  extensive range of care values
• Stimulated the development of care in over 35
  hospital/community districts
• Empowered a often maligned healthcare workforce
• Been honest and professional
• Above all, retained children (wherever they are)
  at the centre of all of our efforts good luck
  Mike

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant CMMC November 2005
46
Dr Judith Ellis MBE

• The play benchmarking group was established in
  1994 and in those early days members came from
  isolated positions, only knowing colleagues if
  they happened to have trained as HPS's together.
• What was common to every member was their
  enthusiasm and eagerness to compare and share
  good practice, initially with some trepidation
  about sharing concerns but always with thoughts
  of improving care for children.
• The group members felt disempowered in developing
  services, few had any budgetary knowledge or
  acumen and were reliant on the good will of other
  professionals to develop play services.
• Very rapidly hearing from others what was
  possible changed the play benchmarking group into
  a team to be reckoned with and this is how it has
  remained. This confidence and resolve is for the
  sake of the children and indeed play staff of the
  future important to  maintain.
• With the NSF the role and importance of play
  staff has never been better recognised. What is
  now needed is political noose and coordinated
  effort.
• Keep going with the sharing and comparing, keep
  going together - don't loose the power that
  togetherness gives you!
• All the best
•  
• Judith  
•  Go for it
  Frances Binns
• 
  North West Play
  Benchmarking Facilitator UCLAN
  
  
  Therapeutic Specialised Play Consultant CMMC
  November 2005

47
Where Can We Go From Here?

• Continue to progress and to meet bi monthly
  together
• Archive past info and work
• Achieve commissioning with the Department of
  health for specific benchmarks
• Negotiate with the strategic health Authorities
  re Play networks
• Internet website for info
• Email network
• Play practitioners accessible electronically
• An informative poster and present re Play
  benchmarking
• Present nationally
• Publish nationally in professional journals
• Work in partnership with other national
  benchmarking groups
• Aim to standardised nationally and work together
• Research development
• Education to other professionals
• Improved training/learning Development
• Quality document NAHPS

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant CMMC November 2005
48
The Users Views !!!
Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant CMMC November 2005
49
THANK YOU and Congratulations on the current
success here s to the future have fun !!!
Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant CMMC November 2005
50
Any Questions /Comments

• Thank You
• Everyone
• Contact details please
• preferably email address

Frances Binns North West Play Benchmarking
Facilitator UCLAN Therapeutic Specialised Play
Consultant CMMC November 2005