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MNC MNC MNC MNC MNC MNC MNC MNC MNC MNC MNC. Modernising Nursing Careers Advanced and Specialist Practice Mike Sabin, SEHD. MNC MNC MNC MNC MNC MNC MNC MNC MNC MNC MNC. UK Initiative
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MNCMNCMNCMNCMNCMNCMNCMNCMNCMNCMNC Modernising Nursing Careers Advanced and Specialist Practice Mike Sabin, SEHD
MNCMNCMNCMNCMNCMNCMNCMNCMNCMNCMNC UK Initiative The Modernising Nursing Careers (MNC) initiative was launched by the four UK Chief Nursing Officers in 2005/6 as part of the overarching Modernising Healthcare Careers strategy. The UK-wide nurse leaders group subsequently produced the report ‘Modernising Nursing Careers: Setting the Direction’ (DoH 2006). The report identified four priority actions: Develop a competent and flexible nursing workforce Update career pathways and career choices Prepare nurses to lead in a changed healthcare system Modernise the image of nursing and nursing careers
MNCMNCMNCMNCMNCMNCMNCMNCMNCMNCMNC Programme of work • The programme is a UK wide initiative. However the context in each country will drive different approaches where required. • Each country is responsible for communication, dissemination and stakeholder management; to that end, each country may establish its own national structures or projects. • Synergy between this and the Modernising Medical Careers (MMC) and similar work with AHPs and the non-clinical workforce will take place via the wider Modernising Healthcare Careers (MHC) programme. • The programme and related projects where appropriate will consider nursing at all levels (including assistant/associates) and in all sectors. Midwifery issues will be managed separately but will engage at all levels.
MNCMNCMNCMNCMNCMNCMNCMNCMNCMNCMNC Workstreams Pre-registration Education Careers Framework Competency Passport Specialist and Advanced Practice* Community Nursing Clinical Academic Roles Career Navigation Tools Independent sector Leading and coordinating care Fast-track Scheme for Nurse Leaders Image
MNCMNCMNCMNCMNCMNCMNCMNCMNCMNCMNC Scottish MNC Group (Chaired by Margaret Smith) Provides a forum for dissemination of UK-wide developments and for generating data and focus for implementation or adaptation within the Scottish context. • Provides stakeholder perspectives on each element to support SEHD decision-making, including option appraisal and risk analysis. Feed back to the MNC consortium to inform UK wide work. Provide support on the specific Scottish–led topic of Advanced/ Specialist Practice.
MNCMNCMNCMNCMNCMNCMNCMNCMNCMNCMNC Advanced/Specialist level practice – Scottish Lead Designated lead country for this MNC workstream, Opportunity to use MNC to support greater consistency in titles, roles and reward. Consultation event and HDL with outline framework for the development of this role within the Scottish context. New Roles Framework Cancer, OoH, Workload and Workforce, Educational models Crucially – an opportunity to build on existing work Initial invitation and subsequent work groups
Advanced and Specialist Practice Overview and ideas
Expert Practice Specialist Practice Generalist Practice Novice Practice
Clinical Educational
Clinical Management Educational
Clinical Management Educational Research
LEVEL 5 Practitioner Clinical Management Educational Research
LEVEL 5 Practitioner
Clinical LEVEL 5 Practitioner
Clinical Educational LEVEL 5 Practitioner
Clinical Management Educational LEVEL 5 Practitioner
Clinical Management Educational Research LEVEL 5 Practitioner
LEVEL 6 Senior Practitioner LEVEL 5 Practitioner
LEVEL 6 Senior Practitioner LEVEL 5 Practitioner
Clinical Management Research LEVEL 5 Practitioner
Clinical LEVEL 6 Senior Practitioner LEVEL 5 Practitioner
LEVEL 7 Advanced Practitioner LEVEL 6 Senior Practitioner LEVEL 5 Practitioner
LEVEL 8 Consultant Practitioner LEVEL 7 Advanced Practitioner LEVEL 6 Senior Practitioner LEVEL 5 Practitioner
Advanced Practice – The ‘Toolkit’ Create a model to explicitly link the regulated title, agreed national competencies, academic preparation and credit, the Career framework, the KSF and Agenda for Change. Articulation of clinical ‘ladder’ with research, education and management ladders. Development of ‘Toolkit’ which captures complexity/interaction in user friendly format. Establishment of Advanced Practice toolkit development group
Stakeholders Employers/Managers Linking competencies to KSF and AfC Link to PDPs and learning/development contract Skills Analysis/Needs analysis tools Outline of roles above and below AP Practitioners Mapping self to AP Competencies PDPs Needs analysis Portfolio development HEIs Mapping of Programme outcomes to AP competencies Assessment of competence - theory and practice guidance Links to Qualifications frameworks (SCQF/NQF/N.I. NQF/FHEQ) Links to regulatory frameworks (NMC, HPC)
Workload Analysis tool – what the service needs Workforce Analysis tool – what we already have (skills/compencies) Training Needs Analysis tool– what development is needed Recruitment Modelling tool – what skills we can bring in AfC/KSF interface – what the rewards/expectations are Workforce model – how this fits with national structures Educational Framework – SCQF, Theory/Practice, Assessment and QA Governance, Policy and Regulation Guide – Supporting patient safety and staff governance • Service • Workforce Planning • Education • Partnership • Regulators • Public Workload and Workforce Planning Project SCN Review and CQIs Cancer Framework Advanced/Specialist practice review Educational models KSF Mapping and Job Profiles
MNCMNCMNCMNCMNCMNCMNCMNCMNCMNCMNC Advanced Practice - Actions Creation of ideal-type exemplars in key clinical areas: Cancer OoH/Unscheduled Care Critical Care/H@N Elderly care/ Long-standing Conditions Mental Health Public Health/Community Midwifery/AHPs Appointment of MNC Project Leader for work on Early Clinical Career Fellowship Programme, Advanced Practice Framework and Career Pathways. ECCF development model to target key areas and populate the framework
MNCMNCMNCMNCMNCMNCMNCMNCMNCMNCMNC Advanced Practice – Communication Strategy Engagement with NES and HEIs to support educational and assessment models. Engagement with service to ensure buy-in and integration in service redesign models. Engagement with Scottish Partnership forum and key UK partners Evaluation framework to explore numbers, core competencies, skills application service models and service impact.