The CNO Review: Aims and policy issues

1. The CNO Review:Aims and policy issues Neil Brimblecombe Director of Mental Health Nursing National Institute for Mental Health in England (NIMHE)

2. The CNO Review of Mental Health Nursing • Aims to provide a new strategic framework for the profession in NHS funded care in England. • Includes formal consultation to gather views about how MH nursing can best contribute to improving service users’ experience and to meet identified priorities. • Emphasises identifying existing good practice • In the context of Shifting the Balance of Power

3. Review process • Formation of reference group • Service users • Professional organisations • NIMHE/DH leads • Formation of advisory groups • Pre registration • Nurse prescribing • Recruitment and retention • Meeting with charity policy leads • Commission Literature review • Formal consultation (90 days minimum) • Open meetings • Service user/carer meetings • All inform final Review document (by March 2005)

4. Is mental health nursing needed? • ‘an essential component in our plans to continue to improve mental health services’ - Louis Appleby, National Director of Mental Health, • ‘Mental health nurses play a vital role in the NHS.’ – Chris Beasley, Chief Nursing Officer

5. Mental health nursing today • 47000 in England (21% increase since 1997) • More in independent sector (? 5-10,000) • 30% in the community • 31% more student places • 140 nurse consultants • 300 supplementary prescribers • 350-400 Modern Matrons • 5000 + PSI trained? • Vacancy rates - 4.7%

6. The context • NSF (MH, Children’s, Older People’s) and PIGs • NHS Plan - user involvement, new roles for staff • CNO’s 10 Key Roles • Agenda for change • NMC Post reg and Fitness to Practice reviews • NICE Guidelines/evidence base • Environment/Healthcare acquired infections • New legislation • New roles for psychiatrists • Shifting the Balance of Power

7. Key current policy issues • NSFs – Older People and Children’s • Mental Health NSF – the next 5 years • Carers • Delivering Race Equality • Inpatient care • Physical care/health promotion • New roles • nurse prescribing • new Mental Health Act? • Choice • Social inclusion

8. The Consultation (more or less) • Purpose of the document • Process and Timing • Numbers and distribution • Key issues for mental health nursing • Core values and roles • Defining key values and models in mental health nursing • Defining key roles of mental health nursing • Providing holistic care • Forming and sustaining relationships with service users • Increasing Choice • Improving physical healthcare and health promotion • Improving access to psychological therapies • Helping overcome social exclusion • Meeting spiritual needs • Utilising evidence in practice

9. The Consultation • Safeguarding children • Supporting carers • Improving services through new roles • Ensuring Equality • - Gender needs • - Delivering race equality • Specialist areas of practice • Developing inpatient nursing • - How to ‘Let nurses nurse’ • - Developing support worker roles • - Developing care at night Improving observations • Prison healthcare

10. The Consultation • Developing nurses to meet the needs of service users • - Pre registration nurse training • - Developing support workers • - Continuing Professional Development and post registration • education • Working in teams • Recruitment and retention • Leadership

11. How to make contact? neil.brimblecombe@dh.gsi.gov.uk Tel: 020 7972 4327 Room 317 Wellington House 133-155 Waterloo Road London SE1 8UG