CHILDREN AND YOUNG PEOPLE’S HEALTHSUPPORT GROUP

MEETING: 18 AUGUST 2011

Modernising Nursing in the Community

Dr Deirdre McCormick

Nursing Officer – Children, Vulnerable Families and Early Years

Modernising Nursing in the Community Programme Board

• Modernising Nursing in the Community Board established in September 2009.

• To provide leadership and vision to support NHS Boards to develop and deliver:

- High Quality - Sustainable and - Person centred community nursing

services.• Temporary website for more information -

www.scotland.gov.uk/Topics/Health/NHS-Scotland/nursing/Modernisation

• Work of the Board is due to be complete in 2011

Key Aims

• To ensure patient safety.• Improve quality of care.• Build capacity, capability,

sustainability and flexibility of nursing teams.

• Identification of the most vulnerable families.

• Prevention & Early Intervention e.g. implementation of vulnerable families framework

MORE FLEXIBLE TEAMS

MEET NEEDS OFINCREASINGLY

DIVERSE & COMPLEXCOMMUNITIES

WORKING “WITH& “THROUGH”FAMILIES &

COMMUNITIES

ENABLING & ENPOWERING

FAMILIES

DEVELOPED WORKFORCE

DEVELOPMENT OF EVIDENCE BASED INTERVENTIONS &

PRACTICE

WHERE ARE WEMOVING TO?

Where Are We Moving To?

Influencing and Supporting Key Strategies

Family NursePartnership

GIRFEC

Early YearsFramework

Living & DyingWell

CarersStrategy

DementiaStrategy

ReshapingCare for

OlderPeople

Nursing inthe Community

CHILDREN

YOUNG PEOPLE

FAMILIES

ADULTSOLDER

ADULTS

PEOPLE AT WORK

Education

Efficiency

Clinical outcomes

Workforce

Evidence base

ehealth

LeadershipTeamwork

Care pathways

Right setting

Client & carer as

partners

Anticipating health needs

Enabling self care

Improving health

Inter-agency partners

Delivering safe, effective and person centred care

MNiC Framework

• Elements of the framework/toolkit continue to develop

• ‘Aurion’ commissioned to build the website by end of March

• Populated from March to December• Supported by Project team at NES• User reference group• Material made available when ready • Full Website launch December 2011

Career Framework for Community Nursing

• Nursing in Occupational Health Completed • PHN and DN end of August• Community Children's and Mental Health

Nursing • Based on the 4 pillars used for advanced

practice• Work being taken forward by Children,

Young People and Families and KPAH sub groups

• Supported by NES

• Education sub group established– Support HEIs in developing community

component of new pre-registration nursing– modernisation of post-registration

programmes– education component of the career

framework

• Engage other UK countries• Influence UK wide agenda – NMC

reviews

MNiC Programme Manager Visits to NHS Boards

• Visits complete• Support for the aims and direction of MNiC• Innovative examples of practice and service

delivery evident – in pockets• NHS Boards facing similar challenges – e.g.

workforce/workload• Board’s modernisation plans at different stages

of development and implementation• Toolkit as a medium to showcase practice• Requests for examples from all NHS Boards

Community Nursing Workload Assessment Tool

• Working group of the Nursing and Midwifery Workload and Workforce Planning Programme (membership from MNiC Programme Board).

• Community Nursing Assessment Tool Pilot completed on 24 July 2012

• Data analysis in progress

• Due for Completion May 2012

• Leading Better Care Phase 2– Includes Community Nursing– Developing Leadership Roles – Outcome Measures/Clinical Quality Indicators

• Releasing Time to Care in the Community– Organisational change based on lean

methodology– All NHS Boards autumn 2010– Regular progress reports to MNiC Board

CHILDREN YOUNG PEOPLE AND FAMILIES SUB GROUP

Aim

• To develop a framework for public health nursing (0-19) which will assist NHS Boards in the provision of high quality, sustainable public health nursing in the community.

• To adopt a coordinated Scotland wide approach

while enabling local solutions.

MNiC Programme Board

Nursing for Work &

Wellbeing

CYP & Families

EvidenceBased

Work stream

PHN Pathway

PathwayWork stream

CareerWork stream/Roles for Public Health

Nursing

Keeping People at

Home

Complex Care Short Life Working Group

Workload and

Workforce Planning

Education

Career Framework

for CCN

Assessment Tool

Contribution of PHNs

leadership

Workload and

Workforce

MNiC Vision