Community Nursing Strategy: a vision for Practice Nursing Presented by Sue Doheny, Director of Nursing NHS England Area Team for Arden, Herefordshire & Worcestershire 14 May 2014

2 NHS England 27 Area Teams Arden, Herefordshire & Worcestershire 4 Regional Teams (North, Midlands & East, South, London) 7 CCG’s (Clinical Commissioning Groups) Redditch & Bromsgrove Wyre Forest Coventry & Rugby Herefordshire Warwickshire North South Worcestershire South Warwickshire Clinical Senates Strategic Clinical Networks (SCN) Local Education & Training Boards (LETB) Health & Well-Being Board Local Education & Training Council (LETC) Local Professional Network (LPN) Clinically led Professional Supporting/Advisory Bodies

NHS England Area Team Structure 3

Background Management/computer consultancy Nurse Training Integrated Community Teams inner city London Intermediate care Locality Manager Director of Operations/Director of Nursing Managing Director Director of Quality/Nursing – LA, PCT Cluster, Area Team 4

My Role 1.Quality Assurance Direct Commissioning CCGs 2. Professional/clinical Leadership CNO – National Strategy Area CCGs 5

Future of Community Nursing Exciting Times! Community Nursing as a term? New models of care Generic roles – competency framework Specialist roles Primary/secondary care Variety of settings – Acute, Practices, Community Hospitals, Home, NH,RH Workforce reflecting required skill mix 6

Practice Nurses Autonomous Wide range of clinical skills Complex case managers Confident Well organised Work on own initiative Negotiation skills Communication skills Leadership skills 7

Practice Nurses Adaptable/flexible Educators Multidisciplinary Team player Supervisors Management skills IT Skills Business Skills AND so much more…………………! 8

Quality in Primary Care Very Varied Clinical Outcomes Patient experience Patient Safety Culture 9

Accountability and Responsibility Your registration and CPD? Key lessons from SCR in last 3 years? Healing rates for leg ulcers? Patient experience of your service? Whistle blowing? 10

Accountability and Responsibility Vaccine Fridge Temperature? HCA Supervision? Urgent care strategy - A&E Target? DOL/MCA? 11

What is your role? Identify gaps in your skills and knowledge Ensure your patients are getting the quality of care they deserve Help shape the future of nursing in ‘out of hospital care’ Be part of the future ! 12