Community and Primary Care Nursing - An integrated approach Lesley Thomson – Head of Nursing Andrea Davidson – Lead General Practice Nurse

The Idea High retirement rates predicted in GPN and DN services. National Health and Social Care Workforce Plan Part 3 - review of traditional roles and boundaries e.g. GPN home visiting and DN long term conditions. General Medical Services contract 2018 Access to a nursing career in community. Increase in number of Health Board managed practices (2C). Consistency in training and core competency. Governance.

Thinking to reality Workforce planning Transforming roles Lead GPN, CNM, PEF’s and HoN. Liaison with NES, GP practices and Clinical Leads. Links with General Practice – Practice Manager, GP’s and GPN’s. 2C and 17J practices. Primary Care Improvement Plan (PCIP) support. NES funding bid – NHS Forth Valley awarded 8 training places over 2 years.

Recruitment and selection Group recruitment of new graduates. Specialist interest in community nursing. Internal advert and partnership working with Stirling University. Support from recruitment – advert to interviews 3 weeks. One start date 29th October 2018.

Integrated approach Dual role 20 hours trainee GPN (NES funded) and 17.5 hours community staff nurse including treatment room (PCIP funded). 17.5 hours community nursing is in addition to staffing establishment but will support care and treatment PCIP. Health Board employed – permanent contract with options for general practice employment after 2 years. Induction programme with newly qualified community staff nurses. Induction, preceptorship, peer support and action learning. Allocated 4 hours per week study time for 2 years. NES GPN 13 month national training programme commencing February 2019.

Evaluation Aims and objectives set by nurses. Nurses encouraged to actively participate in feedback and evolution of the model. Extensive communication with practices and CNM’s ongoing. Quarterly meetings with GPN mentors, practice managers, Lead GPN, Head of Nursing and CNM’s. NES returns every quarter for 2 years. Capturing the learning for other nurses starting in general practice. Challenges and practicalities.