WELCOME

1. WELCOME International development,global health & the RCN Jury’s Inn 3-5, 24 April 2013

2. International Development, Global Health & The RCN Welcome & Introduction Kath McCourt

3. Committee members Paula Hancock, Vice Chair Cecilia Anim Kath McCourt CBE FRCN, Chair Andrew Clarke

4. Committee members Monika Kosińska Judith Malan Alan Finnegan Andrea Spyropolous Rachel Trencher

5. International Purpose • Represent interests of and strengthen status of nursing profession internationally • Enhance patient care by improving professional policy and practice internationally • Improve the health of communities internationally by working with nursing organisations to better shape health policies. Outside the ZUNO offices in Kabwe

6. Global Health AdvocacyHuman Resources for Health Judith Malan

7. HISTORY • Development of nursing and resulting migration • International recognition • Brain drain (Push and pull factors) • Improving Health Care • Aging populations

8. Future actions • Highlight importance of human resources for health within the post 2015 international development agenda • Build networks with others, and develop as post 2015 development framework emerges. • Nursing press awareness

9. Sustainability and Development • Migration will always be a feature of health provision, and does have an impact on global scale. • Global shortage of nurses will fuel the need. • Supporting strategies and developing practises to improve retention and reduce migration can improve situation, but won’t eradicate need for migration.

10. Conclusion • Global workforce planning and development is the most proactive and sustainable way to ensure that healthcare can be delivered everywhere. • Lessons can be learned from all parts of the globe, but requires strong networks and regular dialogue to ensure that learning is embraced and applied.

11. Zambia partnership Andrew Clarke

12. What we’re doing Developing a partnership with the Zambia Union of Nurses Organisation (ZUNO) Strengthening ZUNO as a national nursing association to promote good practice (eg theatre nursing)

13. This is Zambia

14. Why Zambia and ZUNO? • International Committee recommended a National Nursing Association (NNA) partnership • Understanding the role of the RCN • What’s appropriate? • What’s not? • Who to work with? • Looked at counties struggling to meet Millennium Development Goals • Matched against criteria – language, stability, governance • Interested and able to engage and collaborate

15. Actions so far Exploring needs – visiting ZUNO in Zambia Understanding existing capacity and style Understanding the context and opportunities to support strengthen the functioning of ZUNO as a NNA Theatre nursing identified as an area where together we could make a difference Proxy for strengthening ZUNO’s capacity to be more effective

16. Why look at theatre nursing? • Zambia won’t achieve Millennium Development Goals 4 & 5... • Safer surgery can contribute to that and is a national issue • Trained theatre nurses have good skills... • But they don’t always use them • ZUNO has a theatre nurse interest group... • But has not had the capacity to help them develop • Nurses have low status and low power... • But they are the biggest group of health care professionals • Nurses are crucial to improving health outcomes... • But need support to mobilise and realise their potential to influence and effect change

17. Next steps • Agree a memorandum of understanding • Develop a pilot project - with clear roles for both partners and realistic Outcomes and Indicators to track progress • The pilot will have two strands of work: • Supporting ZUNO capacity to mobilise nurses, support the improvement of clinical standards and patient safety, and influence national and local policy, • Leadership and influencing skills of theatre nurses to enable adherence to national minimum theatre nursing standards

18. Banjeleleko! Thanks for listening

19. Facilitating International Engagement through Volunteering Paula Hancock

20. Members volunteer in many ways..... • Through employer co-ordinated health partnerships • Working with NGO’s • Through Diaspora • Professional, community or faith groups • Independently

21. RCN - committed to developing nursing internationally

22. RCN – supporting members through.... • Providing advice to those seeking to work or volunteer outside the UK • International volunteering events • Managing a virtual international humanitarian community • Working in partnership with VSO, THET and other international partners

23. The International Nurse of the Year 2013 - Cerdic Hall

24. Barriers to international volunteering • Lack of funding • Securing volunteers pension • Back filling key staff posts • Demonstrating benefits to employers • Security for volunteers • Training and preparation for the work • Preparation and assimilation on return to UK

25. RCN working with other stakeholders • Member of NHS Overseas Volunteering Working Group which brings together government, employers, professional groups, volunteering NGO’s • Member of the Academy of Medical Royal Colleges International Forum: joint “Volunteering Statement” • Invited to submit information to the All Party Parliamentary Group on Global Health Inquiry on Volunteering

26. Issues to be addressed.... • There is a need for • Consistency for giving time out for volunteers • Formal recognition of volunteering and tools to facilitate this • Collaboration and co-ordination of volunteering • Monitoring, evaluation and research of volunteering activities • Information, training and support of volunteers • additional expenditures and loss of employment entitlements for volunteers to be addressed

27. Finally....the RCN is committed to • Promoting international volunteering • Supporting its members who want to work outside the UK • Uphold it’s Royal Charter and meet its Strategic intensions

28. Q&A