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Transforming Nursing for Community & Primary Care;

HEE Workforce Project

Sharon Harrison, National Programmes 6th February 2015


• Policy and drivers• Background and Context• Transforming Nursing in Community and Primary Care

programme• What are HEE doing• How you can help


Policy & drivers• A Mandate from the Government to Health Education England: April

2014 to March 2015;• Care in Local Communities: a new vision and model for District

Nursing (DH, January 2013) • The NHS belongs to the people: a call to action (NHS England, July

2013)• Improving General Practice; a Call to Action’ (NHSE August 2013)• Transforming Primary Care; safe, personalised, proactive out-of-

hospital care for all (DH, April 2014)• Five Year Forward View (NHS England, October 2014)• Framework 15 | Health Education England Strategic Framework

2014 -29 (June• The Shape of Caring Review, Independent Chair, Lord Willis of

Knaresborough, due to report to the Sponsoring Board by the end of March 2015


Background and context

Individual needs are changing; sustainable NHS to meet the challenges of ageing population and increase in the number of patients with LTC incl. dementia frail elderly• fundamental change in how we deliver and use healthcare

services; • not about unnecessary structural change; finding ways of doing

things differently;• harnessing technology to improve productivity; • putting people in charge of their own health and care; • integrating more health and care services and lowering costs to the

NHS overall such as through fewer hospital visits and more community based care, including care delivered in peoples homes.

Move care from acute care setting to home/nearer home needs nursing services able to meet care need


Practice and District Nursing key workforce

District Nursing: • (HCICS, 2015) identifies a 5.7% drop in the number of District nurses working in

community service during 2003 -2013 • 7 of 33 DN courses in England did not run in 2012/13 (QNI, 2013)• lack of profile of DN as a career option, partly due to nurses having little exposure

to community nursing practice in their training • 60% of the DN workforce are aged 45 or over• most employing organisations use modular courses or in-house training as an

alternative to the DN course

Practice Nursing:• numbers of General Practice Nurses (GPNs) had declined by 10% between 2006

and 2010, • a large number were reportedly in the 50+ age range,• demand for practice nurses services is likely to grow, • there needs to be a structured approach to training and support


Community Nursing Strategy

Programme (now known as TNCPC)

Scope:DN & GPN nursing services


TNCPC Workstreams

Commissioning development SRO – Hilary Garratt, NHSE

provide commissioners with robust and evidence based tools to inform commissioning intentions for staffing

Integration SRO – Jane Cummings, NHS

synergise the nursing contribution with national and local

integration priorities identify and develop potential commissioning

models

Public Health SRO – Viv Bennett PHE/DH

use the commissioning process to incentivise providers and independent contractors to prioritise prevention

Workforce SRO – Lisa Bayliss-Pratt, HEE


HEE Workforce Project

Purpose:ensure an adequate supply of highly skilled, competent staff to improve individual outcomes and support the move of care out of acute settings into primary and community settings

Objective:Education and training delivery that meets the changing needs of District & Practice Nursing Services.


Transforming Nursing for Community & Primary Care Programme


So what are we doing at HEE 1. Educational Framework for DN & GPN nursing services that includes;

• education commissioning service specifications• career framework supported by educational standards• definition of the CPD requirements of the current workforce

2. Transition courses*• HEE will work with the RCN and universities to ensure that nurses currently

working in the acute sector and wishing to work in the community, have ready and easy access to courses to enable them to do so and are supported to making this switch.

3. Workforce planning guide & tools• Commenced November 2014

4. Increase the availability of pre registration practice placements in the community*

• By September 2015, all pre-registration nursing students experience an assessed and dedicated period of time in a community based setting.

* HEE MANDATE DELIVERABLES


Impact• General Practice and Community Nursing as an attractive career

option • Professionalises General Practice Nursing • Clear career pathway in to community and general practice nursing • Supports workforce planning• Improves quality and governance of Primary care through

standardised education and competency• CQC readiness


3 Questions

1. How can we future proof the outputs, keeping up with the current movement in policy

2. Do you think we have missed anything, if yes what?

3. How can you help? • Testing out the products as they develop• Sharing your good practice with us


South (Reading) - 12 March

Green Park Conference Centre

100 Longwater Avenue

Green Park

Reading

Berkshire

RG2 6GP

United Kingdom

North (Manchester) –26th March

The Monastery Manchester

89 Gorton Lane

Manchester

Greater Manchester

M12 5WF

Midlands & East (Leicester) - 23 March

Leicester City Football Club

King Power Stadium

Filbert Way

Leicester

Leicestershire

LE2 7FL

London (Central London) –27th March

Coin Street Conference Centre

Coin Street Neighbourhood Centre

108 Stamford Street

London

Greater London

SE1 9NH

Regional Events


Contact:

[email protected]

mailto:[email protected]

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