Transforming Nursing for Community & Primary Care; HEE Workforce Project Sharon Harrison, National Programmes 6th February 2015

Policy and drivers Background and Context Transforming Nursing in Community and Primary Care programme What are HEE doing How you can help

Policy & drivers A Mandate from the Government to Health Education England: April 2014 to March 2015; Care in Local Communities: a new vision and model for District Nursing (DH, January 2013) The NHS belongs to the people: a call to action (NHS England, July 2013) Improving General Practice; a Call to Action’ (NHSE August 2013) Transforming Primary Care; safe, personalised, proactive out-of-hospital care for all (DH, April 2014) Five Year Forward View (NHS England, October 2014) Framework 15 | Health Education England Strategic Framework 2014 -29 (June The Shape of Caring Review, Independent Chair, Lord Willis of Knaresborough, due to report to the Sponsoring Board by the end of March 2015

Background and context Individual needs are changing; sustainable NHS to meet the challenges of ageing population and increase in the number of patients with LTC incl. dementia frail elderly fundamental change in how we deliver and use healthcare services; not about unnecessary structural change; finding ways of doing things differently; harnessing technology to improve productivity; putting people in charge of their own health and care; integrating more health and care services and lowering costs to the NHS overall such as through fewer hospital visits and more community based care, including care delivered in peoples homes. Move care from acute care setting to home/nearer home needs nursing services able to meet care need

Practice and District Nursing key workforce (HCICS, 2015) identifies a 5.7% drop in the number of District nurses working in community service during 2003 -2013 7 of 33 DN courses in England did not run in 2012/13 (QNI, 2013) lack of profile of DN as a career option, partly due to nurses having little exposure to community nursing practice in their training 60% of the DN workforce are aged 45 or over most employing organisations use modular courses or in-house training as an alternative to the DN course Practice Nursing: numbers of General Practice Nurses (GPNs) had declined by 10% between 2006 and 2010, a large number were reportedly in the 50+ age range, demand for practice nurses services is likely to grow, there needs to be a structured approach to training and support

Community Nursing Strategy Programme (now known as TNCPC) Scope: DN & GPN nursing services

TNCPC Workstreams Commissioning development SRO – Hilary Garratt, NHSE provide commissioners with robust and evidence based tools to inform commissioning intentions for staffing Integration SRO – Jane Cummings, NHS synergise the nursing contribution with national and local integration priorities identify and develop potential commissioning models Public Health SRO – Viv Bennett PHE/DH use the commissioning process to incentivise providers and independent contractors to prioritise prevention Workforce SRO – Lisa Bayliss-Pratt, HEE

HEE Workforce Project Purpose: ensure an adequate supply of highly skilled, competent staff to improve individual outcomes and support the move of care out of acute settings into primary and community settings Objective: Education and training delivery that meets the changing needs of District & Practice Nursing Services.

Transforming Nursing for Community & Primary Care Programme

So what are we doing at HEE 1. Educational Framework for DN & GPN nursing services that includes; education commissioning service specifications career framework supported by educational standards definition of the CPD requirements of the current workforce 2. Transition courses* HEE will work with the RCN and universities to ensure that nurses currently working in the acute sector and wishing to work in the community, have ready and easy access to courses to enable them to do so and are supported to making this switch. Workforce planning guide & tools Commenced November 2014 Increase the availability of pre registration practice placements in the community* By September 2015, all pre-registration nursing students experience an assessed and dedicated period of time in a community based setting. * HEE MANDATE DELIVERABLES

Impact General Practice and Community Nursing as an attractive career option Professionalises General Practice Nursing Clear career pathway in to community and general practice nursing Supports workforce planning Improves quality and governance of Primary care through standardised education and competency CQC readiness

3 Questions How can we future proof the outputs, keeping up with the current movement in policy Do you think we have missed anything, if yes what? How can you help? Testing out the products as they develop Sharing your good practice with us

Regional Events South (Reading) - 12 March Green Park Conference Centre 100 Longwater Avenue Green Park Reading Berkshire RG2 6GP United Kingdom  North (Manchester) –26th March The Monastery Manchester 89 Gorton Lane Manchester Greater Manchester M12 5WF   Midlands & East  (Leicester) - 23 March Leicester City Football Club King Power Stadium Filbert Way Leicester Leicestershire LE2 7FL London (Central London) –27th March Coin Street Conference Centre Coin Street Neighbourhood Centre 108 Stamford Street London Greater London SE1 9NH

Contact: Sharon.harrison13@nhs.net