Title: Vision and Values a call for action on community nursing
1Vision and Values- a call for action on
community nursing
- Rosemary Cook
- Director
- The Queens Nursing Institute
2Insert picture of Vision and Values cover
3Why Now?
- Invisible Workforce
- Age
- Demand
- Title
Context Changing roles New organisations Major
change to NHS systems Changes to community nurse
education Opportunities threats
4Listening
- 8 focus groups around UK, 47 PCTs, 170 nurses
- Contribution from Wales, N Ireland and Scotland
health departments - Individual and small group comments
- ADNE and student groups from 10 Universities
- DN teams talking about community nursing
5Community Nurse 10 Roles
- Expert clinician
- Case manager
- Business entrepreneur
- Social entrepreneur
- Data collector
- Service commissioner
- Service provider
- Health/social care worker
- Public health worker
- Workforce developer
6Impact
- Role confusion
- Over-stretching
- Loss of valuable experience
- Loss of voice at national level
- Empowerment through PEC roles
- Opportunities for new service developments
- Wider range of skills
- Potential to direct use of funds
7The Key Themes
- Professional and role identity
- Vision and leadership
- Engagement and influence
- Image and profile
8Pride and purpose providing and commissioning
high quality services through a variety of
organisational models used with knowledge and
confidence
IDENTITY LEADERSHIP ENGAGEMENT PROFILE
a profession in transition
Fragmentation of services, individual employment
arrangements, varying education, to fit local
need as determined by others
9Call for Action
- Consensus about values, purpose, boundaries and
functions - Clarify relationship of DN to other community
nursing roles - Locate it in family of nursing
- Agree form and level of educational preparation
10Action cont.
- National vision and strategy for district and
community nursing - Action at local level
- Action at individual level
11Focus Groups Local Challenges
- Stick together
- Be proactive
- Stimulate local debate
- Be politically aware
- Raise profile
- Market knowledge
- Audit practice
- Stop being sponges
- Seize opportunities
- Rock the boat
12QNI Next Steps
- Listen to responses
- Talk to local groups and national leaders across
UK - Talk to Departments of Health, other professional
organisations - Bring together national forum on community
nursing
13Modernising Nursing Careers
- Reflects on profession-wide scale issues raised
by community nurses in Vision and Values - Changing nature of society, healthcare and public
expectations - Development and diversity in the NHS and
professions making old models of practice
unsustainable - Impact on image, nature and scope of nursing
14Modernising Nursing Careers
- The health departments will work with key
stakeholders to review the
career pathways and educational preparation
required for nursing in the community - linked to leadership, image profile
MNC, Sep 2006
15A Strategy for Community Nursing?
- Should?
- Acknowledge the vision and values in community
nursing - Recognise difference between nursing in hospital
and primary care - Provide a framework for leadership development
- Integrate CN expertise into policy, commissioning
and service delivery decisions
16ORGANISATIONS
WORKFORCE
NEEDS AND CHOICES OF PATIENTS, CLIENTS AND CARERS
17 Identity Leadership Engagement Profile
Actions from Vision and Values
QNI
MNC review of careers and education
Local action engagement
LOCAL DN TEAMS
Support for/from national organisations
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