Dr Susan Hamer University of Leeds UK [email protected].
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Transcript of Dr Susan Hamer University of Leeds UK [email protected].
Regulatory Policy and Professional Practice: How to bridge the divide?NIPEC a system solution
Dr Susan HamerUniversity of Leeds [email protected]
Change in context:
Changes in disease burden
Population and workforce demographics
Demand pressures
Cost pressures
Innovation “crisis”
Policy initiatives centred on organisational forms.
Quality initiatives relating to increasing control and regulation, introduction of industrial concepts.
Task substitution and increased specialisation, erosion of generalist roles.
Patient mobilisation, use of market/consumer activity
The responses:
Right type of professionals?
Source: Thomas Plochg, Niek Klazinga, Michael Schoenstein and Barbara Starfield for the OECD.
Supportive environments Right skill mix Effective leadership Expectation of change and authority to act Flexible regulatory environment Clinically attractive (innovation)
When health professionals change fast:
Working with the grain: self regulation to self organising
Encourage annexing of new forms of knowledge. Reduce specialisation. View task substitution as a temporary state. Regulate with extreme caution and introduce
flexibility. Increase expectations of the professions to
organise themselves.
Counter intuitive? ( ?Too scary, so rarely done)
NIPEC a case study:• NIPEC was established in 2002 under the Health and Personal Social
Services Act as a Non-Departmental Public Body (NDPB) sponsored by the Department of Health, Social Services and Public Safety (DHSSPS). The responsibilities for NIPEC, as identified within the Act, are shown in Annexe 1, and are summarised below:
To promote
• high standards of practice among nurses and midwives• high standards of education and learning for nurses and midwives
• professional development of nurses and midwives and provide
• guidance on the best practice for nurses and midwives
• advice and information on matters relating to nursing and midwifery.
Corporate Plan 2013 - 2016
System solutions which work with an understanding of how individual professions change their practice
An expectation of professions acting as professions from policy makers
A better appreciation of how to change professional behaviours and a realistic understanding of time and cost
A honest (and trusted) broker who can create the space for system actors to meet and generate solutions
?????????????????????
Adaptive professionals : what do they need?