Long Term Conditions Services Manager Katy Beckford Lynda McAdam Long Term Conditions Services Manager Katy Beckford Lead for Community Cardiac and Respiratory Specialist Service MK

Community Nursing Services MK

Timeline - William Rathbone, a Liverpool merchant and philanthropist, had employed a nurse, Mary Robinson, to nurse his wife at home during her final illness. After his wife’s death, he retained Mary Robinson’s services so that people in Liverpool who could not afford to pay for nursing would benefit from care in their own homes. Seeing the good that nursing in the home could do, William Rathbone and Florence Nightingale worked together to try to develop the service. When too few trained nurses could be found, Rathbone set up and funded a nursing school in Liverpool specifically to train nurses for the 18 ‘districts’ of the City – and so organised ‘district nursing’ began 1887 The Queen’s Nursing Institute began in 1887, with the grant of £70,000 by Queen Victoria from the Women’s Jubilee Fund. A Royal Charter in 1889 named it ‘Queen Victoria’s Jubilee Institute for Nurses’, and gave it the objectives of providing the ‘training, support, maintenance and supply’ of nurses for the sick poor, as well as establishing training homes, supervising centres, co-operating with other bodies and establishes Branches as necessary 1904 - The welfare function was founded in 1904. Originally created to provide support to Queen’s Nurses, welfare assistance is now available to all community nurses who are either retired or whose working careers are threatened by ill-health and/or personal misfortune. In 2007, the QNI’s Financial Assistance Scheme awarded a total £78,318 to support 91 current or former community nurses. 1909 - The founding of the Institute was the next step in co-ordinating and setting national standards for district nurse training across the country. By 1909, the Jubilee Congress of District Nursing was celebrating 50 years of the profession, with branches of the Institute in Scotland and Ireland, and visitors to the Congress from district nursing associations from as far afield as the United States, Bermuda, Norway and Australia.

Timeline 1948 The very poor and old age pensioners were generally nursed for free but it wasn’t until July 1948 when the National Health Service became operational that universal health care became free at the point of access. Henceforth home nursing was paid for by everyone through National Insurance contributions and the nurses were employed by local authorities. 98% of the population were now within reach of a district nurse. 1990 The Developing Practice and Innovative and Creative Practice Awards are created in 1990. These provide grants ranging from £2,500 to £7,500 to community nurses seeking to develop projects which improve patient-care. Since 1990, hundreds of projects have been funded, providing improved and more accessible healthcare to thousands of patients nationwide 2000 Emergence of a number of specialist roles within Community Nursing to meet the ever increasing complex needs of our communities

Community Cardiac and Respiratory Specialist Service District Nursing High Tech Care Care Home Support team Out of Hours Nursing Rapid Response Rapid Response and access to Treatment in Care Homes Community Matrons Community Cardiac and Respiratory Specialist Service

Questions ? NM