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Community and Primary Care Nursing - An integrated approach

Community and Primary Care Nursing - An integrated approach. Lesley Thomson – Head of Nursing Andrea Davidson – Lead General Practice Nurse. The Idea. High retirement rates predicted in GPN and DN services.

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Community and Primary Care Nursing - An integrated approach

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  1. Community and Primary Care Nursing - An integrated approach Lesley Thomson – Head of Nursing Andrea Davidson – Lead General Practice Nurse

  2. The Idea • High retirement rates predicted in GPN and DN services. • National Health and Social Care Workforce Plan Part 3 - review of traditional roles and boundaries e.g. GPN home visiting and DN long term conditions. • General Medical Services contract 2018 • Access to a nursing career in community. • Increase in number of Health Board managed practices (2C). • Consistency in training and core competency. • Governance.

  3. Thinking to reality • Workforce planning • Transforming roles • Lead GPN, CNM, PEF’s and HoN. • Liaison with NES, GP practices and Clinical Leads. • Links with General Practice – Practice Manager, GP’s and GPN’s. • 2C and 17J practices. • Primary Care Improvement Plan (PCIP) support. • NES funding bid – NHS Forth Valley awarded 8 training places over 2 years.

  4. Recruitment and selection • Group recruitment of new graduates. • Specialist interest in community nursing. • Internal advert and partnership working with Stirling University. • Support from recruitment – advert to interviews 3 weeks. • One start date 29th October 2018.

  5. Integrated approach • Dual role 20 hours trainee GPN (NES funded) and 17.5 hours community staff nurse including treatment room (PCIP funded). • 17.5 hours community nursing is in addition to staffing establishment but will support care and treatment PCIP. • Health Board employed – permanent contract with options for general practice employment after 2 years. • Induction programme with newly qualified community staff nurses. • Induction, preceptorship, peer support and action learning. • Allocated 4 hours per week study time for 2 years. • NES GPN 13 month national training programme commencing February 2019.

  6. Evaluation • Aims and objectives set by nurses. • Nurses encouraged to actively participate in feedback and evolution of the model. • Extensive communication with practices and CNM’s ongoing. • Quarterly meetings with GPN mentors, practice managers, Lead GPN, Head of Nursing and CNM’s. • NES returns every quarter for 2 years. • Capturing the learning for other nurses starting in general practice. • Challenges and practicalities.

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