HOUSING SUPPORT, HOME CARE AND COMMUNITY NURSING SERVICES TIME TO INTEGRATE

1
HOUSING SUPPORT, HOME CARE AND COMMUNITY NURSING
SERVICES TIME TO INTEGRATE?
Pauline Small, Head of Nursing and Allied Health
Professionals Dunfermline and West Fife Community
Health Partnership, NHS Fife
2
Government Policy Directing Change in Community
Nursing

• Concordat between Scottish Government and Local
  Government 2007
• Better Health, Better Care (2007)
• Equally Well Report of the Ministerial Task
  Force on Health Inequalities (2008)
• Delivering for Remote and Rural Healthcare
  (2008)
• The Government Economic Strategy (2007)

Pauline Small, Head of Nursing and Allied Health
Professionals Dunfermline and West Fife Community
Health Partnership, NHS Fife
3
Government Policy Directing Change in Community
Nursing (cont)

• Visible, Accessible and Integrated Care (2006)
• Rights, Relationships and Recovery (2006)
• Shifting the Focus Leading on quality
  improvement and patient safety in community and
  primary healthcare services (2007)
• The Self Management Strategy for Long Term
  Conditions (2008)
• Living and Dying Well (2008).

Pauline Small, Head of Nursing and Allied Health
Professionals Dunfermline and West Fife Community
Health Partnership, NHS Fife
4
Challenges of Changing Community Nursing Models
for Care at Home

• Respect within the new health and social care
  landscape
• Evidence of effectiveness required / what works
  for who
• Diversity of need
• Increased demand
• Caring for vulnerable families and an ageing
  population

Pauline Small, Head of Nursing and Allied Health
Professionals Dunfermline and West Fife Community
Health Partnership, NHS Fife
5
Challenges of Changing Community Nursing Models
for Care at Home (cont)

• Ageing workforce
• Creative response required to ensure delivery
• Coherent, shared approach to professional
  standards
• Delivering care at home 24/7
• Demonstrating impact.

Pauline Small, Head of Nursing and Allied Health
Professionals Dunfermline and West Fife Community
Health Partnership, NHS Fife
6
Current Developments in Community Nursing

• Assessment, intervention and evaluation skills in
  providing high quality care
• Public health approaches to protecting the
  public
• Supporting self care
• Managing anticipatory and complex care at home

Pauline Small, Head of Nursing and Allied Health
Professionals Dunfermline and West Fife Community
Health Partnership, NHS Fife
7
Current Developments in Community Nursing (cont)

• Developing the role of assistant practitioners /
  support workers
• Innovative approaches to recruitment and
  retention
• Improving the physical health of those with
  mental illness
• Supporting people to follow healthier lifestyles.

Pauline Small, Head of Nursing and Allied Health
Professionals Dunfermline and West Fife Community
Health Partnership, NHS Fife
8
Vision for Care at Home Services in 2015

• Delivered jointly by multi-disciplinary and
  multi-agency teams
• Based on needs of individuals and communities
• Person centred and holistic in approach
• Maximising empowerment and involving service
  users
• Supported by evidence based practice

Pauline Small, Head of Nursing and Allied Health
Professionals Dunfermline and West Fife Community
Health Partnership, NHS Fife
9
Vision for Care at Home Services in 2015 (cont)

• Integrated, flexible and responsive services
  24/7
• Optimal use of resources
• Harnessing technology
• Delivering the national performance framework
• Valued and appreciated by all concerned.

Pauline Small, Head of Nursing and Allied Health
Professionals Dunfermline and West Fife Community
Health Partnership, NHS Fife