 1 Review of Nursing in the Community: The Proposed Future Model Consensus Conference 16 th May 2006

 2  What are the drivers?  What are the options?  The proposed model – what is it designed to offer?  Elements required of a transition plan  Workshops

 3 What are the drivers?  Patients’ and carers’ needs  Population profile and health care needs  Health and social policy  Nursing, health and social care workforce  Information technology

 4 Foundation elements of new model The need to design services around the needs of individuals, and communities The need to ensure that the true value of nurses and the contribution nursing can make is realised The need to build on the strengths of the present as well as the needs of the future The need to support nurses to move between teams and offer attractive career choices

 5 What are the options?  Status Quo  Change practices, structures and balance within current disciplines  Change the core disciplines

 6 Patients, carers and communities Local Community Nurse (LCN) 1 working directly with individuals and their carers clinically managing and leading services delivered to patients supporting self care multi-disciplinary and multi- agency team working meeting health needs of communities health promotion Health care support worker Community staff nurse Patients, carers and communities Primary Health Care Team, including pharmacists etc Local Authority teams Non-statutory sector care providers Acute Sector Advanced Practitioner/Clinical team leader Community Hospitals Maternity services Children’s & young people’s service Mental health & learning disabilities Consultant nurse Where the nursing team sits within the multi-disciplinary, multi-agency team 1 Working title

 7 Working directly with patients AssessmentInterventions Evaluation Co-ordinating services Nursing Local authorities and others Meeting health needs of communities Designing appropriate approaches Health teams Health promotion Multidisciplinary team working Community development approaches Reaching out to communities 1 Working title Supporting self care Supporting skills development Carer support Community groups Developing integrated care approaches Identifying common purpose Collaboration and communication Six core elements of Local Community Nursing practice Local community nurse

 8 The proposed model: Elements required of a transition plan  Five to ten year plan  Phase one  Interface between other nursing, health and social care services – new and established  Opportunities for current workforce to be realised  Education strategy  Workforce strategy

 9 Workshops 1.Will this model work in your area? 2.Is there an alternative solution? 3.Are there inherent risks in this model that would need to be addressed? 4.What support would be needed to implement the model for practitioners, NHS Boards and HEIs?

 10 Workshops RoomFacilitatorScribe 1WolfsonPat DawsonLindsey Ferguson 2KelvinAudrey CowieJulia Quickfall 3Meeting Room Robert SamuelSarah Mitchell 4SwannJane CantrellPauline Milne