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Transforming District Nursing Roles: Enhancing Patient-centered Care in Scotland

Dive into the transformative journey of district nursing roles in Scotland, focusing on enhancing patient-centered care, education, and service delivery. Explore the shift towards a refocused role, advanced practice, and leadership within integrated community teams. Discover key discussions, initiatives, and future models driving the evolution of district nursing. Stay updated on the national agenda for transforming nursing roles, workforce development, and skill-building. Join the conversation on creating longer, healthier lives with reduced health inequalities through innovative care pathways.

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Transforming District Nursing Roles: Enhancing Patient-centered Care in Scotland

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  1. Transforming Roles: District Nursing Jane Harris Programme Director NHS Education for Scotland

  2. Transforming Services Transforming Roles Transforming Education

  3. Part 2: DN Refocused Role Discussion point Part 1: Transforming Roles Discussion point

  4. longer and healthier lives for all, at home or in a homely setting • reducing health inequalities - prevention, anticipation and supported self-management • hospital care - highest standards of quality and safety, with the person at the centre of all decisions • back to home or community as soon as appropriate, with minimal risk of re-admission • NHS Scotland’s vision for 2020

  5. Pulling Together: transforming urgent care for the people of Scotland. • National Clinical Strategy (2016) • Primary Care Transformation • Health & Social Care Delivery Plan ( 2017) • Personalised care: Integrated teams working for people • Policy Drivers

  6. To provide strategic oversight, direction & governance to the development and transformation of nursing roles • To ensure nationally consistent, sustainable & progressive nursing roles and career pathways • CNO Transforming Nursing Roles Phase 1 Aims

  7. Transforming Nursing Roles ( Phase 1) Workforce with the right skills, values and behaviours - right time/place CNO Transforming Nursing Roles (Phase 1) Setting the Direction Postgraduate Education and Development Group Advanced Practice District Nursing Children, Young People and Families

  8. Role definition and unique contribution • National model for caseload weighting – referral and discharge criteria • Evidence base • DN education, CPD and career pathways Phase 1 – Remit for the DN Review Group

  9. Phase 2 AP AHP CNO Transforming NMaHP Roles General Practice Nursing Advanced Practice PG Education & Development Group Leadership Team AP MW Short Life Working Groups Specialist Nursing Children, Young People and Families Physicians Associates

  10. This Photo by Unknown Author is licensed under CC BY-NC-ND

  11. Role Definition and Competencies • Service and Education Needs analysis • Priority areas • Education Scoping • Managing Funding for ANP education (SG investment to support training for 500 ANPs by 2021) • Advanced Nurse Practitioner

  12. Role definition • Revised HV education • SG funding for training additional 500 HVs to meet requirements of the C&YP Scotland Act ( 2014) • CPD for HVs • Health Visiting

  13. Role definition • New education Programmes • CPD for current SNs • School Nursing

  14. Role Definition and Competencies • New GMS Contract • NES managing significant SG investment in CPD for current GPNs • Commissioned evaluation of current GPN education provision • Continued funding for next 2 years • General Practice Nursing

  15. Discussion point 1 Put yourself in the shoes of those leading Transforming Roles What do you think are the most important things to address if this change is to be effective ?

  16. Enabling independence • Care for people who are frail or unwell • Caseload management and leadership • 3 key aspects of the refocused role

  17. Pivotal role in integrated community teams • Senior Practitioner within the career pathway • High level generalist competencies • Across hospital/community’ boundaries - adapt and innovate • Work flexibly in partnership with patients, carers, communities, health and social care professionals and voluntary agencies • Refocused Role

  18. V300 and Clinical assessment modules • Digital CPD Resource supported by 5 regional events • Small project funding • Future model for DN education in Scotland • District Nursing

  19. Development of an Education and career development pathways model • applied to community nursing in first instance • publication prepared and almost ready to go • Recommendation for a nationally recognised caseload weighting tool/guidance and criteria on DN caseloads complementing exisiting WF/WL tools • District Nursing

  20. Education and Career Pathway model: Community example

  21. Transforming Roles Publications CNO Directorate

  22. Discussion point 2 What do you think are the most important things to address if DN change is to be effective and what is already happening in your locality? Now in your own shoes……………………

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