2014/15 NWL planned commissioning position: maintain c ommissions

1. DISTRICT NURSING 2014/15 NWL planned commissioning position: maintain commissions A London-wide recruitment process has attempted to increase district nurse recruitment in 2011 and 2012, but significant under-recruitment has occurred in both years. 2014/15 London plannedcommissioning position: increase commissions by 7% (from 100 to 107) • Commissioning decisions –summary for 2014/15 NOTE: 2013/14 numbers represent recommended/target commissions. Currently, recruitment numbers show 29% of commissions have been filled (average recruitment rate for the previous three years is 74%). A 23.5% undersupply is predicted in 2018/19.

2. North West London – District Nursing A 26.5% undersupply is predicted in 2018/19. Rationale for decision • District nursing workforce forecasts show a reduction in demand but a greater reduction in supply, leading to a small undersupply. • It has been agreed pan London to consolidate commissions and undertake measures to address the poor uptake of training places. A national group has been set up to address this. • Planning for an increase in nurses who have generalist skills and are competent to work autonomously in the community is under way and reflected in our investment plans. • Factors leading to final demand and supply figures • There was discussion and broad agreement with the stakeholder groups that whilst there is a shortage of district nurses, an increase in commissioning levels would not address this as student demand does not fill current commissioned places. • There was some discussion about the district nursing role, and whether new roles are needed to support community nursing, particularly in light of the expansion of clinical services being delivered in the community as part of the out-of-hospital agenda.