February 2022 WELCOME TO THE NHS WALES DIGITAL NURSING NEWSLETTER This newsletter will help keep stakeholders informed of the standardisation and digitisation of nursing documentation in NHS Wales, as well as updates concerning the digital applications that nursing will be using.

A message from the Chief nursing Officer As the Chief nursing Officer I am delighted to see the progress across the NHS in Wales with supporting a National digital approach to undertaking in patient nursing assessments. This has been such a positive and proactive all Wales approach, and I look forward to the remaining health boards and trusts implementing the WNCR and this service being considered business as usual; what an achievement that will be and one to celebrate.  I know the team are continuing work on further standardisation of documents and I am grateful to all those involved. This work is so important and will enhance the quality of service provision with assessment data availability across the health care system supporting better decision-making and ultimately better quality of care for patients. So many opportunities to explore with the wider nursing digital system alignment.  Digital technology has been fundamental in our response to the pandemic and with the pace around this we are in an ideal position for our profession to influence the priorities as leaders in this space.   As we are now into the third year dealing with the extraordinary impact that the pandemic continues to have across the system and indeed our lives, I am so very grateful to everyone who has been involved with supporting the introduction of the WNCR and making digital nursing records a reality. I was really pleased to have had an opportunity to see this “live” in Cwm Taf recently and grateful to Christian Smith for the demonstration. The enthusiasm from those using the system is infectious. Having a national approach with the digitisation of nursing records is invaluable, as is having a clear development plan for our nursing and midwifery workforce in specialist digital skills and clinical informatics roles. These priorities have my full support and commitment as CNO. Thank you all for everything you have done and continue to do at pace and I look forward to the ongoing success with this work. Sue Tranka Chief Nursing Officer  Welsh Government / Llywodraeth Cymru

Welsh Nursing Care Record (WNCR)

WNCR Stakeholder Engagement events March 2022

As Senior Responsible Owner (SRO) for the digitisation of nursing documentation, I would like to thank you for your ongoing support for the Welsh Nursing Care Record (WNCR) national project. We are hosting a range of one hour engagement events in March 2022 and I would like to invite you to attend and discover how we're implementing the digital nursing system, WNCR, across NHS Wales by ensuring quality and standardisation. We would like to share our project progress with you and how the WNCR can support NHS Wales staff. Please see further information (right) about the events, and I am looking forward to joining you all in March. Claire Bevan SRO Digitalisation of Nursing Documentation Programme

There are three events: An introduction to (WNCR) for student nurses Thu, 3 Mar 2022, 14:30 The purpose of the event is to share with you the WNCR journey to date, how the WNCR can assist with student experience and learning through using the WNCR in adult inpatient wards across Wales. We value feedback from universities and students across Wales to inform the ongoing development of the WNCR as current system users and future nurses of NHS Wales. You can register for this event here. WNCR journey, technical development & innovation Thu, 17 Mar 2022, 14:30 This event will introduce the WNCR journey, lessons learnt and will focus on the technical development and next steps of the digital system. You can register for the event here. WNCR standardisation and implementation of nursing documentation Thu, 24 Mar 2022, 14:30 This event will introduce the standardisation methodology to nursing documentation in Wales and the importance of information standards across clinical systems. Lessons learnt from implementation of the WNCR into adult inpatient wards across Wales will also be explored. You can register for this event here. For more information, please email dhcw-enquiries@wales.nhs.uk

Betsi Cadwaladr ramps up ready for launch! Jane Brady, Chief Nursing Informatics Officer at Betsi Cadwaladr University Health Board spoke to us recently about how excited her team are for their upcoming WNCR launch in March. Watch below 👇

Welsh Nursing Care Record research and evaluation Bangor University are supporting the review and evaluation of WNCR. The evaluation will explore the impacts of the WNCR which is funded by the Chief Nursing Officer for Wales and the Director of Technology, Digital and Transformation Welsh Government. The evaluation will be completed by Lois Wiggins who currently works as Betsi Cadwaladr University Health Board as a Continuing Healthcare Coordinator within the Mental Health and Learning Disability Division. She qualified as Registered Nurse Learning Disability and with a Bachelor of Nursing from Bangor University in 2018 and successfully applied to complete a Masters by Research as part of a clinical academic programme at Bangor University in partnership with Digital Health and Care Wales.

During the evaluation, Lois will be looking at information already gathered by Digital Health and Care Wales and early feedback from users of the WNCR. In addition, Lois will be engaging with representatives from different Health Boards and setting up forums to further explore user experience of the WNCR.

**Go lives as of week commencing 01/02/2022**

WNCR website work  The team at DHCW have given the WNCR webpage a major update with a new look and feel (left). The page is easier to use and read and includes sections for updates, events, newsletters and more.  Please head to the dedicated  WNCR page and feedback is welcome to dhcw-comms@wales.nhs.uk  New Documentation Update:  Work continues on the standardisation of the next set of documents and includes:  Food and Fluid charts   Wound care  Mouthcare risk assessment  Care Plans  IV and Catheter Care Bundles  Blood Glucose Monitoring   End of Life  Bristol Stool chart  Clinical Frailty Tool   Repositioning Chart  Infection Prevention Risk assessment   Discharge Planning Assessment

Welsh Intensive Care Information System (WICIS) The Welsh Intensive Care Information System is currently in development with health boards across Wales. There will be a new digital solution to replace paper charts and the hand-written observations that are used to record vital life signs. The Grange University Hospital Intensive Care Unit in Aneurin Bevan University Health Board will be the first of all 14 Welsh adult critical care units to adopt the new digital service. The new fully-managed digital solution is capable of replacing all existing charts. It will collect real-time information automatically from the monitoring devices, pumps and respiratory equipment used for each patient’s care, providing easy access to vital data and insights, giving frontline staff a quick and clear overview of the status of patients and devices across the ward.

With more than 10,000 people admitted for critical care in Welsh hospitals each year combined with increasing pressure on intensive care, digital enhancement of Intensive Care Units will improve care by streamlining processes, providing vital clinical information and saving nursing staff from documenting at the bedside. If you would like more information on the programme you can head to the dedicated webpage, or you can email Geraint.Walker@wales.nhs.uk.

Welsh Community Care Information System (WCCIS) Welsh Government has endorsed a strategy of closer working between Health and Social Care services and the desire to support more people at home. Policy and strategic documents such as the Social Care and Wellbeing Act (2014), Delivering Integrated Health and Social Care (2013), have consistently identified the need for better coordinated and integrated Social Care and Health services. To support this, Local Authorities from across Wales have worked with NHS Wales organisations to specify and select a single Welsh Community Care Information System (WCCIS) for Social Care, Community and Childrens nursing Health, Mental Health and Therapy Services, across organisational and geographical boundaries. If you would like more information about the programme please contact Barry.Morgan2@wales.nhs.uk for details about mental health services and Abigail.Swindail3@wales.nhs.uk, for community and children’s nursing.

Secondary Care Electronic Prescribing and Medicines Administration Electronic Prescribing and Medicines Administration (EPMA) is the next new digital programme that will digitise the prescribing and the medicines administration process within hospital settings it will support: • Safer medication prescribing and medication administration • Efficient medicines business processes, such as medicines reconciliation and verification, and include the 5 rights of medicines administration • Replacing the paper medicines chart Nursing requirements have been gathered via various workshop events and watch out for more news as we progress.

Useful tips Look out for icon on the left, this will appear on your desktop and take you directly in to the Welsh Nursing Care Record application.

An On Demand Training Centre is now available for WNCR where you can find more guidance and helpful tips.