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Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health & Learning Disability Nursing.

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Presentation on theme: "Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health & Learning Disability Nursing."— Presentation transcript:

1 Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health & Learning Disability Nursing

2 Government, national policy and learning disabilities
Norman Lamb MP –MS (CS) Local Government HWB Adult Social care Safeguarding Mental health Physical & learning disabilities Third sector Prison Health Services

3 National nursing leadership
Viv Bennett Director of Nursing and Government Principal Advisor on Public Health Nursing Department of Health Jane Cummings Chief Nursing Officer NHS Commissioning Board NHS Outcomes Leadership Implementation & delivery Public health Adult social care

4 Our Vision - developing the culture of compassionate care
Care is our business Compassion Competence Communication Courage Commitment

5 Our values and behaviours are at the heart of the vision and all we do
Care Compassion Competence Delivering high quality care is what we do. People receiving care expect it to be right for them consistently throughout every stage of their life. Compassion is how care is given, through relationships based on empathy, kindness, respect and dignity. Competence means we have the knowledge and skills to do the job and the capability to deliver the highest standards of care based on research and evidence.

6 Our values and behaviours are at the heart of the vision and all we do
Communication Courage Commitment Good communication involves better listening and shared decision making - ‘no decision about me without me’. Courage enables us to do the right thing for the people we care for, be bold when we have good ideas, and to speak up when things are wrong. Commitment will make our vision for the person receiving care, our professions and our teams happen. We commit to take action to achieve this.

7 Delivering the vision Maximising health and well-being outcomes
Working with people to provide a positive experience of care Delivering high quality care and measuring impact Building and strengthening leadership Ensuring that we have the right staff with the right skills in the right place Supporting positive staff experience

8 Jane Cummings, CNO 6 Cs of Nursing
NHS Change Model Leading change Compassion Courage Competency Communication Care Commitment a shared purpose to the vision Making sense of it all to bring

9 National policy and nursing developments
Vision and values Purpose and functions Organisational design Driving through change Improving and measuring health outcomes Maximising the contribution of nurses

2012/13 Domain 1 Preventing people from dying prematurely Domain 2 Enhancing quality of life for people with long-term conditions Domain 3 Helping people recover from episodes of ill health or injury Domain 4 Ensuring that people have a positive experience of care Domain 5 Care in a safe environment and protecting them from avoidable harm

11 Nursing and Care Quality Forum
Best practice must be common practice! People first Values and culture Skills, knowledge and time to care Leadership Sally Brearley

12 Learning Disability Nursing
1995 – 12,504 in NHS 2011 – 5,189 in NHS 54% reduction (1,000 per year) Increasing vacancy factor 1,7% in 2009) 600 student commissions per year 4/500 register with NMC

13 The 4 major factors: Compromised Workforce Higher Education Issues
Challenges with recruitment Filling commissions High attrition Financial incentives Placements Compromised Workforce Workforce Issues Complex field of practice Plurality of providers and stakeholders Loss of experienced practitioners Aging profile of workforce Data/ Intelligence Issues No modelling for retirement Unreliable data sets Third sector absent from strategic decision making Conflicting data sets I believe that a unique interplay between four major factors; Higher Education issues, workforce issues, along with poor data and ‘intelligence’ issues, and field of practice issues collectively threaten and compromise this specialist workforce. So to conclude the issue of the plurality of service models in which learning disability nurses now practise along with workforce, education, career and leadership issues need to be urgently addressed to ensure that efficient use is made of our knowledge and skills, and I repeat without this it is difficult to see how a compromised workforce can be avoided in the short to medium term (Gates, 2011). Field of practice Issues Level of/or uncertainty of career opportunity Absence of leadership at all levels Increased prevalence and complexity of need in people with learning disabilities Development and validation of new roles 13

14 Learning Disabilities Nursing
Strengthening capacity Strengthening capability Strengthening the quality Strengthening the profession

15 Strengthening the Profession
Promoting the profession Leadership & management Research & evidence Strong leadership and networks will be crucial to ensuring the recommendations from this report are taken forward. Existing networks for learning disabilities nurses across the UK continue to provide a powerful platform from which to celebrate, promote and develop our unique contribution. These have tended to be developed mainly for NHS staff. So, a key step is for the learning disabilities nursing profession to embrace members from all sectors to create a critical mass of leaders working together to effect change and advocate for the profession and those they serve. The report recommends a UK-wide cross-sector project is set up to nurture and develop aspiring leaders in learning disabilities nursing and a recommendation to create a UK academic network to share best practice, develop the research and evidence base and support implementation of the recommendations. Strengthening the commitment The report of the UK Modernising Learning Disabilities Nursing Review

16 Ely Hospital 1969

17 Where we are now Changing patterns of service provision
Services without nurses in a leadership role Nurses managed by other disciplines Nursing issues not identified and addressed No clear opportunities Lack of opportunities

18 Where do we want to be Strong leadership Drive forward the profession
Modernised workforce Develop clinical leadership Clear career pathway Succession planning

19 Determinants of Health (In)equalities as outcome measures
Social factors e.g. poverty, poor housing, unemployment, social isolation Determinant 2 Genetic & biological conditions Determinant 3 Personal health risks & behaviours e.g. self-harm, poor diet, lack of exercise Determinant 4 Communication difficulties & reduced health literacy Determinant 5 Access to healthcare provision People with learning disabilities have poorer health than non-disabled people DH emphasised that Primary, Acute and Specialist NHS trusts must meet the health needs of people with learning disabilities DH working with Nurse Consultants in Learning disabilities to develop a set of outcome measures that Trusts and Commissioners can use to determine that health inequalities are addressed and that health outcomes improved The proposed outcome measures based on the determinants of health inequalities from the Improving Health and Lives: Learning Disabilities Observatory It is the impact of each of these determinants on the health of people with learning disabilities that provides the focus for the development of outcome measures A measurement scale has been developed and will be ready for testing in the Spring For further information contact Dr Ben Thomas

20 Learning disabilities nursing – a brilliant career

21 Thank You Contact details: Dr Ben Thomas

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