It’s not all about hospitals!

Helping people to stay independent,

maximising wellbeing and improving health

outcomes

Debbie Stubberfield Clinical Quality Director London Trust Development Authority for

Dr David Foster

Deputy Director of Nursing and Midwifery Advisor

Compassion in Practice- Everybody’s

Business

Compassion in Practice- Everybody’s

Business

• Laura Clarke – CPN, South London and the Maudsley Mental

Health NHS Foundation Trust

• laura.clarke@slam.nhs.uk

• Jeanette Hennessy - Clinical Midwifery Manager – Croydon

University Hospital NHS Trust -

Jeanette.Hennessy@croydonhealth.nhs.uk

• Chrispina Omoniruvbe - Lead Health Visitor, Homerton University

NHS Trust - Crispina.Omoniruvbe@homerton.nhs.uk &

• Caroline Hart - Early Years Consultant/Early years Lead for

Hackney's 27 month Integrated Review Health and Early Years

Partnership, The Learning Trust - Caroline.Hart@learningtrust.co.uk

• Loretta McGurry, Family Nurse Partnership Supervisor, Croydon

University Hospital NHS Trust –

Loretta.mcgurry@croydonhealth.nhs.uk

mailto:laura.clarke@slam.nhs.ukmailto:Jeanette.Hennessy@croydonhealth.nhs.ukmailto:Crispina.Omoniruvbe@homerton.nhs.ukmailto:Caroline.Hart@learningtrust.co.ukmailto:Loretta.mcgurry@croydonhealth.nhs.uk

Specific programmes within Compassion in

Practice

• Public health nursing and midwifery approach

• Health Visiting Call to Action and Implementation Programme

• School nursing development plan

• Service transformation - services for children and family/safeguarding/care pathways

• Community nursing

– Mapping nursing services in the community

– Supporting the health and wellbeing needs of carers – adults and young carers

– Producing model for District nursing (in partnership with the Queen’s Nursing Institute)

– Developing practice nursing forums

• Maximising the nursing and midwifery contribution to the ‘dementia challenge’

• Mental health nursing – no health without mental health

• Learning Disability – reducing inequalities

Leadership role for local authorities

Working alongside the NHS, with its continuing

role promoting health through clinical services

Stronger focus on health outcomes, supported by

the Public Health Outcomes Framework

Supported by a new integrated public health

service, Public Health England

Public health as a clear priority for Government,

backed by ring-fenced resources

New roles and

responsibilities Clear

priorities

The new public health system

National public health policy – Department of

Health

Public Health Outcomes

Framework

• Improving the wider determinants of health

• Health improvement

• Health protection

• Health care public health and preventing premature mortality

• Health and Well-Being Boards

Public Health practitioners

Specialist Community Public Health Nurses and Midwives

Nurses and midwives with specific primary and

secondary prevention roles: breast feeding, screening,

immunisation, infection prevention, sexual health,

vulnerable groups

All nurses and midwives maximising their role in health and

well being

Every Contact Counts Individual

Individual

caseload

registered list

Individual

community

population

Nursing and midwifery: improving and

protecting the public’s health

• Compassion means supporting people to improve health in

circumstances that are often very difficult with respect and empathy

• High levels of competence are required to deliver support and advice

that effects lifestyle changes which benefit the health and wellbeing of

families and communities.

• We know that it takes skilled communication and courage to raise

difficult health topics with people

• And it needs real commitment to provide care where the results may

not be fully realised for several years but ultimately improve health

outcomes for all.

‘Care is our business’ means action at

individual, family and population level. It

means prevention, early intervention and

health promotion, as well as treatment of ill

health

Nursing in adult social care

• Enabling relationship-centred care with all staff

working in adult social care settings

•Making every contact count through promoting access to reliable

information and advice on care and support to deliver positive early

intervention and prevention outcome.

•Utilising the widest range of resources through

signposting to universal services and activities that

support individuals and their families to be active in

their communities.

•Ensuring that people who fund their own care feel

supported to make informed choices and know where

to go for advice and support.

Adult Social Care

Outcomes Framework

• to promote people’s wellbeing and independence, instead of waiting for people to reach a crisis point

• to support people to maintain their independence and

• to stay connected to their communities, and will treat people with dignity and respect

• to give clearer entitlements, more and better information and support to navigate the care system

• to give a new statutory entitlement to personal budgets will mean that people are able to exercise real choice over their care and support, making the right decisions for them and their families.

The focus of care and support will be transformed:

Registered nurses, care and support staff working with the person and

their family to ensure meet the service user statements in new

legislation:

“I am supported to maintain my independence for as long as possible”

“I understand how care and support works, and what my entitlements

and responsibilities are”

“I am happy with the quality of my care and support”

“I know the person giving me care and support will treat me with dignity

and respect”

Nursing in adult social care

Achieved by: Evidence-based and relationship-centred care

Clinical oversight and assessment; management of

complex care needs

Standards: negotiated with service users and carers to

deliver safe and personalised outcomes

A joined up approach: from the perspective of the person

using the service

Midwives contribution to

maximising wellbeing and

improving health outcomes

•Every contact will count to influence and maximise the health and wellbeing of all

women, babies, families and communities throughout pregnancy, birth, the postnatal

period and beyond

•Midwives will seek to meet the challenges of reducing health inequalities through

improving maternal and population health, ensuring the best start in life, thus

contributing to a healthy life expectancy

•Midwives will deliver innovative, evidence based, cost effective, high quality care within

multi agency teams across hospital and community based health and social care settings

•Midwives will facilitate a positive and life enhancing transition to parenthood for women

and their families in collaboration with women and partners, which will be achieved

through the provision of trusted support and personalised care, taking into account

individual needs, risk and circumstances

•Sensitive, responsive bereavement services will be provided for those who experience

poor outcomes to meet the needs of the grieving process and promote long-term health

and well-being

•26th June 2013 DH – Leading the nation’s health and care

@DavidFosterDH

Make it personal –

what does all this

mean to you and the

people you care for?

Public Health Nursing

and Midwifery