Modernising Nursing Careers NMC Pre-registration Nursing Review Lesley Barrowman

1. Modernising Nursing CareersNMC Pre-registration Nursing ReviewLesley Barrowman Workshop 26th July 2007

2. NMC Phase 3 Pre-registration Nursing Review Overall intent of the NMC review April to March 2008 To explore and consult on an overarching framework to support new NMC standards of proficiency for developing a competent and flexible workforce 2008 to 2009 Develop new NMC standards of proficiency

3. NMC Phase 3 Pre-registration Nursing Review • NMC is working with a wide range of stakeholders across the UK • As part of the overall plan a small work group has been convened to support the core group at NMC. • Reference groups are being consulted to feedback to the work group and core group • Initial outcome of the activities is to in the develop a consultation paper for publication in the autumn

4. NMC Phase 3 Pre-registration Nursing Review This workshop has been set up to • begin the process of debate in Northern Ireland • provide initial feedback to the NMC work group in preparation of the consultation paper

5. Pre-registration nursing education in the UK Most recent significant change was the introduction of Project 2000 programmes between 1988 and 1992 with the intent of developing the ‘knowledgeable doer’ 3 year programme with a common foundation programme and 4 branches, adult, learning disability, children’s and mental health nursing Based on a preceptorship period following registration

6. Project 2000 – a few key issues Supernumerary status for students Intended that all students complete an identical 18 month CFP and choose which branch they would enter – not applied like this since commissioning required specific outputs Minimum HE Diploma Programme – in NI mostly delivered by former colleges of Nursing until 1997 – integration with HE sector, also Degree programme delivered by UU

7. Project 2000 – a few key issues Now delivered by QUB, UU and OU as Diploma and Degree programmes Uses a model of continuing development and assessment with a strong emphasis on self-directed learning and reflective practice

8. Project 2000 – a few key issues UKCC Fitness for Practice Review in 1999 (Peach report) Introduced a number of changes including One year CFP and 2 year branch Longer placements Strengthened partnership working between service and education New proficiencies for pre-registration nursing programmes

9. Modernising Nursing Careers Now at the stage of undertaking a review to ensure that programmes produce nurses who are fit to deliver the services of the future We need to have a view of what the future service needs are and the kind of workforce of the future needed to deliver the services The framework resulting from this review be thinking about nurses being produced for 2015

10. Modernising Nursing Careers The Department of Health as part of Modernising Careers has predicted that the future preparation needs to be ‘flexible and principle-based built around patient pathways with a strong academic foundation and interdisciplinary learning’

11. Modernising Nursing Careers New nurses must be enabled to care even more effectively: • In a complex and diverse society where social inequality exists • Inside and outside hospital and across health and social care • For an increasing older population • For those with long-term conditions • In supporting lifestyle changes • Using disease prevention and health promotion interventions

12. Modernising Nursing Careers New nurses must be enabled to care even more effectively: • By treating patients are partners in healthcare and maximising choices • Through the use of technological advances • Providing value for money and quality care • In new and emerging roles which cross professional boundaries • As leaders and members of multidisciplinary teams

13. Some views of stakeholders to date • A flexible workforce fit for purpose • Generic nurses • Internship year • Enhancement of current branch preparation • Increased ownership by service • Increased community base • Degree/diploma

14. Some views of stakeholders to date • Increased public health element • Common elements extending across the programme • Radical rethink of programme structure • Provide some options within programmes • Strong clinical focus • Stepping on and off • Reduce ‘silo working’

15. Workshop The workshop will help you to • Consider the workforce of the future • Think about the kind of nurse/s that will be needed and the model of preparation they need for the role PLEASE NOTE THERE WILL BE NO DEFINITIVE OUTPUTS – THE MAIN PURPOSE IS TO BEGIN THE DEBATE

16. Workshop The UKCC in 1999 developed some models for nursing programmes – paper circulated – 6 models proposed The NMC had produced a draft paper – pre-consultation consideration of framework option – paper tabled provides: • general principles pgs 3&4 • 4 options pgs 5-14

17. Workshop You have one hour for group discussion in four groups A facilitator has been allocated for each group Choose a scribe Choose a reporter Complete at least one placemat per group Feedback key points to the workshop members

18. Group Activity 1 – take 30 minutes 1 What do you think will be the key service needs of the future? 2. What kind of nurses do you think will be needed to deliver on this agenda? 3. How do you think they need to be prepared for practice?

19. Group Activity 2 – take 30 minutes 4. Do you think the models proposed by NMC will deliver this for you? 5. Have you any other comments?

20. Presentations This presentation will be available for download at http://www.nipec.n-i.nhs.uk/presentations