Nursing and Health Visiting Vicki Finlay Chief Nursing Officer’s Professional Leadership Team Department of Health

Nursing in a Changing World Demographic change – age and expectations of population Age and expectations of current and future workforce Technological change Lifestyle changes and impact on health Worst global recession since 1930’s

What’s happening in healthcare? l Greater co-production, with people taking greater ownership of their health; l Early and more upstream intervention –prevention is better than cure; l More care closer to home; l Focus on quality and productivity; l A workforce that can provide ‘care without walls’ l Many of these changes involve new and extended roles for nurses and midwives and research and evidenced based practice are key; l Research will need to draw on social science and psychological approaches as well as biomedical.

A patient-led NHS – ensuring it responds to people’s needs and their wishes when it comes to managing their own care, giving people information and choice Shifting focus and resources towards better health outcomes –making them amongst the best in the world Empowering professionals throughout the NHS – giving them more power and responsibilities, replacing the top-down approach from central government. Improving our public health services –working with partners on prevention Reforming long-term care – improving accessibility of, and options for, long- term social care by focusing on prevention, personalisation and partnership delivery. White Paper: ‘Equity and Excellence Liberating the NHS’

Nursing Practice Today l Clinicians l Leaders and Managers l Researchers l Educators

l New people and those wishing to return to practice l Compassionate, caring, individuals with a flair for building and sustaining effective relationships l Intelligent, critical thinkers who are able to assume the responsibility of being an accountable professional l A diverse workforce that represents the communities it serves Who are we trying to recruit?

A Profession Adapting…. l Letting go of the past l Understanding the present reality l Preserving what is important l Positioning for the future

Nursing and Midwifery Council’s Revised Standards for Education and Practise l Designed to build a safe and effective workforce that are able to rise to the challenges of 21 st Century Health service l Retains the 4 fields of nursing – Adult – Child – Mental Health – Learning Disabilities l Programmes 4,600 hours and or 3 years (full or part time) l 50% theory and 50% practice l Up to 50% prior experience or learning can be accredited against the programme (APL)

9 The new vision for health visiting l We are building a revitalised health visiting service based around a new offer for families l At the centre of the family offer is a universal service for all, provided by health visitors l Health visitors will have a central role in providing evidence-based health interventions to families l An additional 4200 health visitors will be in post by 2015

10 Why are we doing this? – Research shows that good advice, support and healthcare in the first few years of life leads to better health and development in future years, which is why it is important to provide the HCP as part of a universal service to all families; – HCP is evidence based, and the interventions that Health Visitors will provide as part of it - such as vaccines and immunisation - help to improve public health, as well as having obvious benefits for the individual too; – Through universal plus and universal partnership plus, families will get access to specialist help and support to deal with health issues like speech or hearing difficulties before they become more serious.

11 Wider early years context Independent reviews conducted by Graham Allen, Frank Field and Dame Clare Tickell have all highlighted just how important pregnancy and the first five years of a child’s life are in providing children with the foundations they need to thrive and succeed in life. Evidence suggests there are five critical factors in the foundation years: – Children’s health in early life – Good maternal mental health – Quality of parenting and parent-child relationships – Learning activities – High-quality early education The work of health visiting teams is part of a larger effort to help families in the first few years of life, and the government is committed to increasing help and support for families.

12 The new health visiting offer to families The new service will offer 4 levels of help and support to families. They are: Your community: a range of services available locally - including Sure Start service, that health visitors work to develop, and publicise to families Universal services: the health visitor and their team provide the Healthy Child programme to all families, ensuring a healthy start for babies, support for parents and access to a range of community services and resources Universal plus: The health visiting team will provide a rapid response when specific expert help is needed - for example with postnatal depression, a sleepless baby, weaning or answering any concerns about parenting Universal partnership plus: The health visiting team will provide ongoing support, and work with a range of local services to deal with more complex issues over a period of time. These include services from Sure Start children’s centres, other community services including charities and, where appropriate, the Family Nurse Partnership

13 What will success look like ? An extra 4200 health visitors will be in work by 2015, and be spread across communities in proportion to local need All families have access to a full range of services from universal to support for vulnerable families and to care for children with illness/disability at home and in their communities Evidence based services and practice are provided by committed, knowledgeable and confident professionals Any needs or problems are identified early and the right service response provided Strong partnerships are built and sustained both between local organisations and with families using services Health Visitors are proud of the profession and recommend it Local leaders feel empowered to make changes Families receive joined up services to meet their needs and choices and express high levels of satisfaction Children are ‘ready for school’ Local health outcomes improve and inequalities reduce

14 Opportunities for nurses and health visitors Range of employers NHS, Independent Sector, Voluntary Agencies, Charities, Local Authorities, Retail, Legal services, Government, Education sector, research industries, consultancy ………. UK Nurses and HVs are widely recognised as amongst the best in the world and their skills are in demand worldwide Continuous professional development and infrastructure for career support Fair pay - average salary of a newly qualified nurse at the start of their careers is £21k moving up to £100k plus for those in very senior roles Opportunities for Innovators and Entrepreneurs

Thank you and questions Vicki Finlay