1. Health Visitor and School Nurse Preceptorship Programme: Created in partnership - Cumbria Partnership NHS Foundation Trust and University of Cumbria Jo Blake, Head of Department of Lifelong & Interprofessional Learning, Faculty of Health & Science

2. Preceptorship – national direction A Health Visitor Career (GB DH 2012): Part 1: Support in first 2 years: Induction Period 2-4 weeks Preceptorship (6 – 12 months) – mentor/preceptor Regular supervision Team Support http://www.nhsemployers.org/PlanningYourWorkforce/childrensandfamilesworkforce/Health visiting/Pages/ToolsAndResources.aspx

3. Format Each participant has planned preceptorship in practice 5 facilitated action learning workshops - themed John’s (2009) Model of Reflective Inquiry and Influencing Grid Personal SOAR analysis (strengths, opportunities, aspirations, results) Reflective log Accredited or non-accredited

4. Themes 1. Self Awareness 2. Confidence Building 3. Conflict Resolution 4. Managing Stress 5. Roles and Contributions within both Team and Organisation

5. Specific Outcomes Focussed on: 1.Role of the Health Visiting/School Nursing service in achieving the outcomes of the Public Health Outcomes Framework and the Healthy Child Programme 2.Application of parenting approaches, including the Solihull Approach to parenting 3.Application of strategies to enhance effective time management practices within the workplace. 4.Decision making with regards to safeguarding children and young people through appropriate assessment and analysis of risk. 5.Professional and effectively communicate complex information at appropriate levels within a multiagency arena.

6. John’s (2009) Influencing Grid Conforming to normal practice/habit? The weight of tradition Negative attitudes and prejudices? Racism? Expectations of others? Need to be valued? Limited skills/confidence to act in new ways? What Factors Influence My Decision Making and Actions? Fear of sanction? The weight of authority. Emotional entanglement/over identification? Misplaced concern? Loyalty to colleagues versus loyalty to client? Anxious about ensuing conflict? Personal stuff/baggage?Knowledge to act in specific ways? The weight of theory. Wrapped in self concern? Pity? Stressed? Guilt? Frustration? Other feelings? Time/priorities?Expectations from self about how/should act? Doing what was felt to be right?

7. Double Loop Learning

8. Evaluation Comments Good preceptor support in practice – needs to be consistent even when time pressures. There needs to be protected time for preceptor and preceptee for critical reflection/clinical supervision. Time sometimes compromised by work priorities Good to have time out to attend action learning sets Useful to have specialist facilitators to explore issues and challenges in practice

9. Evaluation Comments Would have preferred not to have to write anything – just attend and discuss Influencing Grid very relevant to HV/SN practice Helps to establish a local network between new HV/SN starters Should be available to all new starters

10. Any Questions?