1. The CNO Review: Aims and policy issues Neil Brimblecombe Director of Mental Health Nursing National Institute for Mental Health in England (NIMHE) Neil Brimblecombe Director of Mental Health Nursing National Institute for Mental Health in England (NIMHE)

2. The CNO Review of Mental Health Nursing –Aims to provide a new strategic framework for the profession in NHS funded care in England. –Includes formal consultation to gather views about how MH nursing can best contribute to improving service users’ experience and to meet identified priorities. –Emphasises identifying existing good practice –In the context of Shifting the Balance of Power –Aims to provide a new strategic framework for the profession in NHS funded care in England. –Includes formal consultation to gather views about how MH nursing can best contribute to improving service users’ experience and to meet identified priorities. –Emphasises identifying existing good practice –In the context of Shifting the Balance of Power

3. Formation of reference group –Service users –Professional organisations –NIMHE/DH leads Formation of advisory groups –Pre registration –Nurse prescribing –Recruitment and retention Meeting with charity policy leads Commission Literature review Formal consultation (90 days minimum) Open meetings Service user/carer meetings All inform final Review document (by March 2005) Formation of reference group –Service users –Professional organisations –NIMHE/DH leads Formation of advisory groups –Pre registration –Nurse prescribing –Recruitment and retention Meeting with charity policy leads Commission Literature review Formal consultation (90 days minimum) Open meetings Service user/carer meetings All inform final Review document (by March 2005) Review process

4. Is mental health nursing needed? ‘an essential component in our plans to continue to improve mental health services’ - Louis Appleby, National Director of Mental Health, ‘Mental health nurses play a vital role in the NHS.’ – Chris Beasley, Chief Nursing Officer ‘an essential component in our plans to continue to improve mental health services’ - Louis Appleby, National Director of Mental Health, ‘Mental health nurses play a vital role in the NHS.’ – Chris Beasley, Chief Nursing Officer

5. Mental health nursing today 47000 in England (21% increase since 1997) More in independent sector (? 5-10,000) 30% in the community 31% more student places 140 nurse consultants 300 supplementary prescribers 350-400 Modern Matrons 5000 + PSI trained? Vacancy rates - 4.7% 47000 in England (21% increase since 1997) More in independent sector (? 5-10,000) 30% in the community 31% more student places 140 nurse consultants 300 supplementary prescribers 350-400 Modern Matrons 5000 + PSI trained? Vacancy rates - 4.7%

6. The context NSF (MH, Children’s, Older People’s) and PIGs NHS Plan - user involvement, new roles for staff CNO’s 10 Key Roles Agenda for change NMC Post reg and Fitness to Practice reviews NICE Guidelines/evidence base Environment/Healthcare acquired infections New legislation New roles for psychiatrists Shifting the Balance of Power

7. Key current policy issues NSFs – Older People and Children’s Mental Health NSF – the next 5 years –Carers –Delivering Race Equality –Inpatient care Physical care/health promotion New roles –nurse prescribing –new Mental Health Act? Choice Social inclusion NSFs – Older People and Children’s Mental Health NSF – the next 5 years –Carers –Delivering Race Equality –Inpatient care Physical care/health promotion New roles –nurse prescribing –new Mental Health Act? Choice Social inclusion

8. Purpose of the document Process and Timing Numbers and distribution Key issues for mental health nursing Core values and roles Defining key values and models in mental health nursing Defining key roles of mental health nursing Providing holistic care Forming and sustaining relationships with service users Increasing Choice Improving physical healthcare and health promotion Improving access to psychological therapies Helping overcome social exclusion Meeting spiritual needs Utilising evidence in practice Purpose of the document Process and Timing Numbers and distribution Key issues for mental health nursing Core values and roles Defining key values and models in mental health nursing Defining key roles of mental health nursing Providing holistic care Forming and sustaining relationships with service users Increasing Choice Improving physical healthcare and health promotion Improving access to psychological therapies Helping overcome social exclusion Meeting spiritual needs Utilising evidence in practice The Consultation (more or less)

9. Safeguarding children Supporting carers Improving services through new roles Ensuring Equality - Gender needs - Delivering race equality Specialist areas of practice Developing inpatient nursing - How to ‘Let nurses nurse’ - Developing support worker roles - Developing care at night Improving observations Prison healthcare Safeguarding children Supporting carers Improving services through new roles Ensuring Equality - Gender needs - Delivering race equality Specialist areas of practice Developing inpatient nursing - How to ‘Let nurses nurse’ - Developing support worker roles - Developing care at night Improving observations Prison healthcare The Consultation

10. Developing nurses to meet the needs of service users - Pre registration nurse training - Developing support workers - Continuing Professional Development and post registration education Working in teams Recruitment and retention Leadership Developing nurses to meet the needs of service users - Pre registration nurse training - Developing support workers - Continuing Professional Development and post registration education Working in teams Recruitment and retention Leadership The Consultation

11. How to make contact? neil.brimblecombe@dh.gsi.gov.uk Tel: 020 7972 4327 Room 317 Wellington House 133-155 Waterloo Road London SE1 8UG neil.brimblecombe@dh.gsi.gov.uk Tel: 020 7972 4327 Room 317 Wellington House 133-155 Waterloo Road London SE1 8UG