1. A charity leading innovation in mental health The Pathway for Nursing at St Andrew’s: Pebblepad Symposium Ann Jackson ann.jackson@standrew.co.uk Director of Nursing Twitter @ajdonstandrew #standrewscare

2. A charity leading innovation in mental health What is Preceptorship? “A period of structured transition for the newly registered practitioner during which he or she will be supported by a preceptor, to develop their confidence as an autonomous professional, refine skills, values and behaviours and to continue on their journey of life-long learning.” (DH, 2009)

3. A charity leading innovation in mental health Relevant national nursing strategy

4. A charity leading innovation in mental health The Francis Report

5. A charity leading innovation in mental health The Government’s Response

6. A charity leading innovation in mental health National and Local Nursing Issues  Need for greater humanity & leadership  Need for strong decision-makers at all levels  Need for a louder patient/service user voice  Having enough staff with the right skills in the right place  Acting early enough on concerns and ‘duty of candour’  Accurate and useful information – ‘fundamental’ standards  Attracting, recruiting, training nurses of the future

7. A charity leading innovation in mental health National vision for Nursing

8. A charity leading innovation in mental health Delivering the CNO vision: Compassion in Practice 6 ‘C’s Care, Compassion, Competence, Communication, Courage, Commitment  Helping people to stay independent, maximising well- being and improving health outcomes  Working with people to provide a positive experience of care  Delivering high quality care and measuring the impact  Building and strengthening leadership  Ensuring we have the right staff, with the right skills, in the right place  Supporting positive staff experience 

9. A charity leading innovation in mental health Direction of Travel  Improving the image of nursing  Embedding the values of nursing  Recognising and developing nursing expertise  Driving up standards and leading innovation, e.g care rounding; RCN Principles of Practice  Developing the nursing evidence-base  Reducing waste and measuring the impact  Supporting vibrant career pathway choices  Ensuring staff well being, equality of opportunities and preventing ‘compassion fatigue’

10. A charity leading innovation in mental health Introducing ‘The St.Andrew’s Nurse’  St Andrew’s Nurses will be known for their expertise in the range of specialist services; and will influence local and national policy and practice in mental health and learning disability  St Andrew’s Nurses will be visible, will articulate the nursing contribution to high quality care and will be accountable for standards of professional and ethical practice  St Andrew’s Nurses will provide compassionate, safe, holistic and evidence-based practices which are measureable and audited  St Andrew’s Nurses will have opportunities to follow a career pathway for clinical, professional, management and academic leadership roles

11. A charity leading innovation in mental health

12. Newly registered nurse enters Preceptorship Service-user focussed, accountable member of St Andrew's healthcare team enters supervised practice Self-directed learning Work-based learning Formal instruction Reflective practice From competence to developing capability

13. A charity leading innovation in mental health 1 Develop as a professional 2 Develop recovery-oriented practice 3 Work effectively with others 4 Develop, implement and review care plans 5 Manage physical healthcare 6 Safely manage and administer medications 7 Safely perform injections Competencies

14. A charity leading innovation in mental health Finally, what really matters?  Recruiting & retaining the very best nurses  Nursing values of dignity, respect and humanity  Professional standards of practice and conduct  Working collaboratively with service users  ‘Speaking up’ to voice any concerns about safety, quality and effectiveness  Valuing and articulating nursing expertise  Knowing your contribution and always making it  Making St.Andrew’s the best place to provide care and to work for! Contact me directly if you disagree