1. Student Forum January 2013 Helen Whyley Nursing Officer
Welsh Assembly Government

2. “Nursing is an art: and if it is to be made an art, it requires an exclusive devotion as hard a preparation, as any painter's or sculptor's work; for what is the having to do with dead canvas or dead marble, compared with having to do with the living body.?”
Florence Nightingale
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3. Healthcare Policy Environment
Focus on improving safety, effectiveness and patient experience
• Demographic changes:
ageing population
complex healthcare needs
increasing long-term conditions
• Patient, public and service user expectations
• Care to be delivered closer to home
• Clinically led services 8

4. Contributing factors Poor health Health inequalities
Over-reliance on hospital care
A need for more specialised care
Meeting expectations
Challenging resources
Service re-design
Winterbourne Report
Francis Enquiry
Older People’s Commissioner Dignity Report

5. National Strategies & Initiatives
Together for Health (2011)
Setting the Direction (2010)
Designed to Realise the Potential (2008)
5 Year Service, Workforce and Financial Strategic Framework (2010)
1000 Lives Plus
Free to Lead, Free to Care - Fundamentals of Care
Transforming Care

6. Together for Health – 5 year strategy for NHS Wales
The main commitments are:
service modernisation, including more care provided closer to home and specialist ‘centres of excellence’
addressing health inequalities
better IT systems and an information strategy ensuring improved care for patients
improving quality of care
workforce development
instigating a ‘compact with the public’; and
a changed financial regime.

7. CNO Agenda • Implementing the Maternity Strategy for Wales
• Patient experience and satisfaction
Safer Nursing Care Tool
• Implementing the HCAI action plan
UK wide Modernising Learning Disability Nursing
Implementation of Aylesward Child Safeguarding recommendation
Development of clinical academics including advanced practice
Implementation of Spiritual Standards and all Wales Nutrition and Catering Standards
Supporting Flying Start expansion, and wider Child poverty agenda.
Supporting the Mental Health Measures work
Patient experience and satisfaction - setting principles and working with service to have a consistent approach; annual audit using the Fundamentals of Care Tool; developing a Nursing dashboard and real time data on care
2. Implementing the HCAI action plan set out in the 2011 Statement of Purpose paper.
3. Implementing the Maternity Strategy for Wales
4. Contributing to the UK wide Modernising Learning Disability Nursing
5. Supporting the Mental Health Measures work
6. Contributing the the Welsh work with war veterans - mental health mainly
7. Review of the Post registration career framework for nurses
8. Reviewing role of health professional consultants; development of clinical academics;
9. Planned work on advanced practice especially development of clinical supervision guidance, workforce planning and commissioning
10. Continued implementation of Spiritual Standards and all Wales Nutrition and Catering Standards
11. Implementation of recommendations from review of health visitors - supports Flying Start expansion, Early Years assessment work and wider Child poverty agenda.
12. Implementation of Child Safeguarding recommendation from the Aylward review of services in NHS.

8. Nursing care metrics & Dashboard
The dashboard will enable nurses from “ward to board” to review the quality of care being delivered in their clinical area, organisation or across Wales.  Data to populate the All Wales Nursing Dashboard are being captured through a new Care Metrics module, created by NWIS within the Fundamentals of Care Audit Tool. 
Definitions are agreed nationally. This will mean that nurses can be sure the data they are collecting are standardised across Wales – everyone is collecting the same thing in the same way -making the information more meaningful.

9. Dignity and respect

10. Dignity in Care Tier 1 Priority – part of performance monitoring
Older People’s Commissioner review – progress on action plans
Fundamentals of care national audit – made public for first time
HIW dignity spot checks
CHC Hospital Patient Experience Report now being used in performance meetings
Piloting Safer Nursing Care Tool – in patient settings

11. Dementia care National Dementia Vision for Wales launched Feb 2011
Dedicated help-line and website to offer emotional support and advice
Workshop held June 2011 to discuss national audit findings (HQIP) – action plans developed by all LHBs – plans will be used as basis for 2012/13 national audit
WG funded dementia care training in LHBs
Leslie Rudd, 1000 Lives Plus, dedicated officer facilitating service developments

12. The Future Clinical Workforce
Autonomous practitioners
• Degree level registration
• Analytical thinkers with high levels of professional judgement
• Skilled to plan, deliver and evaluate safe, effective, compassionate person-centred care
• Focused on improving health outcomes and well-being
• Will work across service boundaries and drive up standards and quality
• Will promote and sustain change and innovation
• Will lead, delegate, supervise and challenge others
• Will manage complex care using latest technology