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Review of Nursing in the Community: The Proposed Future Model. Consensus Conference 16 th May 2006. What are the drivers? What are the options? The proposed model – what is it designed to offer? Elements required of a transition plan Workshops. What are the drivers?.
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Review of Nursing in the Community: The Proposed Future Model Consensus Conference 16th May 2006
What are the drivers? • What are the options? • The proposed model – what is it designed to offer? • Elements required of a transition plan • Workshops
What are the drivers? • Patients’ and carers’ needs • Population profile and health care needs • Health and social policy • Nursing, health and social care workforce • Information technology
Foundation elements of new model • The need to design services around the needs of individuals, and communities • The need to ensure that the true value of nurses and the contribution nursing can make is realised • The need to build on the strengths of the present as well as the needs of the future • The need to support nurses to move between teams and offer attractive career choices
What are the options? • Status Quo • Change practices, structures and balance within current disciplines • Change the core disciplines
Where the nursing team sits within the multi-disciplinary, multi-agency team Patients, carers and communities Consultant nurse Advanced Practitioner/Clinical team leader Maternity services Local Community Nurse (LCN)1 working directly with individuals and their carers clinically managing and leading services delivered to patients supporting self care multi-disciplinary and multi-agency team working meeting health needs ofcommunities health promotion Acute Sector Non-statutory sector care providers Community Hospitals Primary Health Care Team, including pharmacists etc Local Authority teams Mental health & learning disabilities Children’s & young people’s service Community staff nurse Health care support worker 1 Working title Patients, carers and communities
Assessment Interventions Designing appropriate approaches Evaluation Meeting health needs of communities Working directly with patients Health promotion Nursing Co-ordinating services Local authorities and others Health teams Six core elements of Local Community Nursing practice Community development approaches Reaching out to communities Local community nurse Multidisciplinary team working Supporting self care Developing integrated care approaches Supporting skills development Identifying common purpose Carer support 1 Working title Community groups Collaboration and communication
The proposed model: Elements required of a transition plan • Five to ten year plan • Phase one • Interface between other nursing, health and social care services – new and established • Opportunities for current workforce to be realised • Education strategy • Workforce strategy
Workshops • Will this model work in your area? • Is there an alternative solution? • Are there inherent risks in this model that would need to be addressed? • What support would be needed to implement the model for practitioners, NHS Boards and HEIs?