1. How does it feel out there? Issues in the field Anne Moger Programme Director for GPN – HEW and HETV Jenny Aston ANP and Chair RCGP General Practice Foundation Nursing Group

2. Cinderella?

3. How does it feel? Not like that...

4. ..like this

5. Shift of care

6. Current situation Poor national and local data on workforce No national career framework/pathway Few placements for pre registration nurses in general practice No training standards Low /variable levels of funding

7. NHS Architecture 27 Area Teams NHS England 212 Clinical Commissioning Groups (CCGs) 23 commissioning support units 4 Regions Health & Wellbeing Boards Clinical senates 12 Strategic Clinical networks 250 Foundation & NHS Trusts Independent and third sector Public Health 15 Academic Health Science Networks Local Networks CQC and Monitor HEE and Local Education & Training Boards

9. Quality Primary Care CCGs Area teams Monitoring of contracts with Primary care Confident competent workforce Possible model CQC/QOF

10. What is needed? GPN Education Framework Pre- registration nursing in General Practice Healthcare assistants Nurses new to General Practice Nursing Experienced specialist GPNs Advanced Nurse Practitioners

11. What do we need? National Strategy ( Community Nursing Workforce Strategy Project) National Career Framework – national funding Robust workforce data (CCGs and LETBs) Student placements Minimum training standards for HCAs, GPNs and ANPs Robust appraisal and revalidation ( NMC consultation June 2014) COGPED to include GPNs GPN Leadership in all LETBs

12. Thank you for Listening