Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health

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Modernising Learning Disabilities Nursing -
Leadership Dr Ben ThomasDirector of Mental
Health Learning Disability Nursing
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Government, national policy and learning
disabilities

• Norman Lamb MP MS (CS)
• Local Government HWB
• Adult Social care
• Safeguarding
• Mental health
• Physical learning disabilities
• Third sector
• Prison Health Services

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National nursing leadership
Viv Bennett Director of Nursing and Government
Principal Advisor on Public Health Nursing
Department of Health
Jane Cummings Chief Nursing Officer NHS
Commissioning Board
NHS Outcomes Leadership Implementation delivery
Public health Adult social care
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Our Vision - developing the culture of
compassionate care
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Our values and behaviours are at the heart of
the vision and all we do
Care
Compassion
Competence
Delivering high quality care is what we do.
People receiving care expect it to be right for
them consistently throughout every stage of their
life.
Compassion is how care is given, through
relationships based on empathy, kindness, respect
and dignity.
Competence means we have the knowledge and skills
to do the job and the capability to deliver the
highest standards of care based on research and
evidence.
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Our values and behaviours are at the heart of
the vision and all we do
Communication
Courage
Commitment
Good communication involves better listening and
shared decision making - no decision about me
without me.
Courage enables us to do the right thing for the
people we care for, be bold when we have good
ideas, and to speak up when things are wrong.
Commitment will make our vision for the person
receiving care, our professions and our teams
happen. We commit to take action to achieve this.
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Delivering the vision

• Maximising health and well-being outcomes
• Working with people to provide a positive
  experience of care
• Delivering high quality care and measuring impact
• Building and strengthening leadership
• Ensuring that we have the right staff with the
  right skills in the right place
• Supporting positive staff experience

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Jane Cummings, CNO6 Cs of Nursing
NHS Change Model
Leading change
Compassion
Courage
Competency
Communication
Care
Commitment
a shared purpose to the vision
Making sense of it all to bring
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National policy and nursing developments

• Vision and values
• Purpose and functions
• Organisational design
• Driving through change
• Improving and measuring health outcomes
• Maximising the contribution of nurses

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NHS OUTCOMES FRAMEWORK
2012/13
Domain 1 Preventing people from dying prematurely
Domain 2 Enhancing quality of life for people
with long-term conditions
Domain 3 Helping people recover from episodes of
ill health or injury
Domain 4 Ensuring that people have a positive
experience of care
Domain 5 Care in a safe environment and
protecting them from avoidable harm

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Nursing and Care Quality Forum

• Best practice must be common practice!
• People first
• Values and culture
• Skills, knowledge and time to care
• Leadership
• Sally Brearley

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Learning Disability Nursing

• 1995 12,504 in NHS
• 2011 5,189 in NHS
• 54 reduction (1,000 per year)
• Increasing vacancy factor 1,7 in 2009)
• 600 student commissions per year
• 4/500 register with NMC

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The 4 major factors

• Higher Education Issues
• Challenges with recruitment
• Filling commissions
• High attrition
• Financial incentives
• Placements

Compromised Workforce

• Data/ Intelligence Issues
• No modelling for retirement
• Unreliable data sets
• Third sector absent from strategic decision
  making
• Conflicting data sets

• Workforce Issues
• Complex field of practice
• Plurality of providers and stakeholders
• Loss of experienced practitioners
• Aging profile of workforce

• Field of practice Issues
• Level of/or uncertainty of career opportunity
• Absence of leadership at all levels
• Increased prevalence and complexity of need in
  people with learning disabilities
• Development and validation of new roles

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Learning Disabilities Nursing

• Strengthening capacity
• Strengthening capability
• Strengthening the quality
• Strengthening the profession

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Strengthening the Profession

• Promoting the profession
• Leadership management
• Research evidence

Strengthening the commitment The report of the UK
Modernising Learning Disabilities Nursing Review
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Ely Hospital 1969
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Where we are now

• Changing patterns of service provision
• Services without nurses in a leadership role
• Nurses managed by other disciplines
• Nursing issues not identified and addressed
• No clear opportunities
• Lack of opportunities

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Where do we want to be

• Strong leadership
• Drive forward the profession
• Modernised workforce
• Develop clinical leadership
• Clear career pathway
• Succession planning

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Determinants of Health (In)equalities as outcome
measures
Determinant 1 Social factors e.g. poverty, poor
housing, unemployment, social isolation
Determinant 2 Genetic biological conditions
Determinant 3 Personal health risks
behaviours e.g. self-harm, poor diet, lack of
exercise
Determinant 4 Communication difficulties
reduced health literacy
Determinant 5 Access to healthcare provision
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Learning disabilities nursing a brilliant career
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Thank You

• Contact details
• Dr Ben Thomas
• ben.thomas_at_dh.gsi.gov.uk