1. Ruth Walker Executive Nurse Director Does education have a role in the preparation of the workforce for advanced practice? An employers view

2. Cardiff and Vale University Health Board Services a population 500,000 people Budget £874 m Services include Primary/community Secondary Tertiary Mental health services 2 acute hospitals Community hospitals/GP practices/health centres

3. Cardiff and Vale University Health Board StaffingTotal-15,000 Nurses 5,188 Reg-3,602 Unreg-1,586 Nurse Practitioners 82 Clinical Nurse Specialists 199

5. What is the agenda for Nurses? Profession Nursing Midwifery Strategy Modernising Nursing Careers Community Nursing strategy Education/Training/develop ment Free to Lead /Free to Care School Nursing Midwifery 2020 Career Framework Corporate NHS Reorganisation Financial Challenge Performance Management Healthcare standards Service Modernisation

6. Integrating (3) An example of integrated governance Links between the Healthcare Standards, other National priorities and the 1000 Lives Campaign Healthcare Standards for Wales, e.g. Standard 5: Healthcare associated infection Standard 19: Medicines Management Standard 16: Learning from incidents Standard 28: Accountability, leadership for quality NPSA Alerts and notices: Critical care anti-coagulation ‘Clean your Hands’ ‘Being Open’ policy National Clinical Strategies: Critical Care Strategy HCAI’s in hospital and community settings NICE Guidance: Care of acutely ill patients in hospital Infection control Peri-operative hypothermia 1000 Lives Campaign..the campaign as a vehicle for delivery..

7. Nursing in the 21st Century Has the role changed?

9. 28.a. Employer organisations ensure that job descriptions for new level 7 Advanced Nurse Practitioner (ANP) posts reflect the description and role competencies of advanced practice. 28.b. ANP post holders hold an appropriate master’s level award and can demonstrate advanced levels of knowledge and skills commensurate with the role, and high levels of decision making, problem solving and critical thinking. 28.c. Service employers have in place transition arrangements to support current ANP post holders who do not possess an appropriate master’s degree. AP(E)L arrangements are considered.

10. Recognition of specialist and generalist practice up to advanced level. Education and training to prepare practitioners for roles – emphasis on knowledge and skills preparation that can be transferred.  Clinical Nurse Specialists to have a degree in a relevant subject and be able to demonstrate competencies in field.  Advanced level practitioners – accepted principles set out in Advanced Practice Toolkit. Academic level set at master’s level.

11. Pre-registration degree level preparation 5 6 7 8 9+9+ Level WIDE ENTRY GATE Consolidation of practice Careers in: generalist/ specialist clinical posts, academic and teaching posts. Continued education in 4 ‘pillars’: Clinical/Professional Practice Leadership and Management Facilitated Learning & Development Research Registration Careers in consultant, senior and strategic level roles, senior clinical academic and academic/research posts. Continued education in 4 ‘pillars’ plus (where appropriate) Strategic service development Corporate skills/responsibilities Overview of the career framework Graduate and post graduate level study Post graduate to doctorate level study Advanced Practice Careers in advanced generalist/ specialist roles, ward manager posts, management, education and research posts. Continued education in the 4 ‘pillars’ Career Advice

12. Does education have a role in the preparation of the workforce for advanced practice? YES

13. The Challenge and Rationale

17. Ultimate Goal Right Person doing the Right Thing to the Right Patient at the Right Time in the Right Place

19. The modern nurse is viewed by the public as a skilled and independent professional