Brought to you by:

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C C N
Hoorah for Specialist Community Children's
Nursing! This house believes that the generalist
CCN should be consigned to the pages of history.

• Brought to you by
• Anne Walker, Head of Nursing, CCN Team,
• St Georges Healthcare NHS Trust

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Key attributes of nursing derived from
theoretical definitions/descriptions of nursing
RCN Defining Nursing 2003
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The debate rages!

• This house proposes Specialist Community Nurses
  are the only option
• What is a Specialist?
• Answer
• There are many definitions

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Definition Clinical nurse specialist

• Is a registered Nurse who has acquired the
  expert knowledge base, complex decision making
  skills and clinical competencies for expanded
  practice.
• International Council of Nurses 2002

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Definition

• A CNS is a registered Nurse who has acquired
  additional specialist knowledge and experience.
• Having completed or demonstrated the ability to
  complete a degree, they will have the skills and
  competencies required to manage a clinical
  caseload within agreed boundaries and protocols
  in-line with clinical governance.
• NHS Greater Glasgow 2004

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So why the cns is best?

• COMMUNICATION
• PROFESSIONAL
• APPROACHABLE
• KNOWLEDGEABLE
• UNDERSTANDING

TEAM WORKING ACCESSIBLITY CARING COMPASSION
ATE SUPPORTIVE
Evaluating the CNS role in Child Health L
McArthur, A Flynn Nursing Times 10433, 28-29
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Cost effective

• Salary Scales
• Band 7 29.091-38.352
• Band 8a 37.106-44.527

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National drivers

• Darzi Review
• Specialist Nursing to Spearhead nursing teams in
  the community
• DOH (Department Of Health) 40.000
• Children's WTE 2005 400
• WTE 2007 517

RCN/RCPCH/COUNCIL OF DEANS CHILDREN WORKFORCE
PROJECT 2008
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HANSARD (1 MAY 2007)

• Underuse
• Valuable Resource
• NICE (Epilepsy) Specialist Nurses should be an
  integral part of the network of care of
  individuals
• Lord Hunt (DOH) Demographics ahead in the next
  10-30 years, the role of the CNS is very important

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Quotes from patients

• Responded Quickly
• Gave Information as needed
• Helped with physical symptoms
• Gave confidence
• Linked with other services
• West Berkshire Neurological Alliance 2006-2007

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Quotes from patients

• I am spoken to as a young adult
• When I needed help, it was there, even if I just
  phone for help
• Nurse Specialist are like Tech people and
  provide a human element of care
• Excellent Communication the Nurse made sure
  that mine and my Childs emotional and physical
  needs were met

Evaluating the CNS role in Child Health L
McArthur, A Flynn Nursing Times 10433, 28-29
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Hoorah for the specialist community nurse!
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ITS SIMPLY THE BEST
BETTER THAN ALL THE REST