1. NHS Education for Scotland
Transforming Roles:
District Nursing
Jane Harris
Programme Director
NHS Education for Scotland

2. Transforming Services Transforming Roles Transforming Education

3. Part 1:
Transforming Roles
Discussion point
Part 2:
DN Refocused Role
Discussion point

4. NHS Scotland’s vision for 2020
longer and healthier lives for all, at home or in a homely setting
reducing health inequalities - prevention, anticipation and supported self-management
hospital care - highest standards of quality and safety, with the person at the centre of all decisions
back to home or community as soon as appropriate, with minimal risk of re-admission

5. This slide represents current policy initatives.
The Golden Thread of Nursing runs through this busy landscape of policy drivers and none of it would happen without nurses
Its also about the importance of integration and all programmes and workstreams working together

6. Policy Drivers
Pulling Together: transforming urgent care for the people of Scotland.
National Clinical Strategy (2016)
Primary Care Transformation
Health & Social Care Delivery Plan ( 2017)
Personalised care: Integrated teams working for people

7. CNO Transforming Nursing Roles Phase 1 Aims
To provide strategic oversight, direction & governance to the development and transformation of nursing roles
To ensure nationally consistent, sustainable & progressive nursing roles and career pathways

8. Transforming Nursing Roles ( Phase 1)
Workforce with the right skills, values and behaviours - right time/place
CNO
Transforming Nursing Roles
(Phase 1)
Advanced Practice
District Nursing
Children, Young People and Families
Setting the Direction
Postgraduate Education and Development Group

9. Phase 1 – Remit for the DN Review Group
Role definition and unique contribution
National model for caseload weighting – referral and discharge criteria
Evidence base
DN education, CPD and career pathways

10. Phase 2 CNO Transforming NMaHP Roles PG Education & Development Group
Physicians Associates
Children, Young People and Families
Leadership Team
Phase 2
AP AHP
Advanced Practice
AP MW
Short Life Working Groups
General Practice Nursing
Specialist Nursing

11. This Photo by Unknown Author is licensed under CC BY-NC-ND

12. Advanced Nurse Practitioner
Role Definition and Competencies
Service and Education Needs analysis
Priority areas
Education Scoping
Managing Funding for ANP education
(SG investment to support training for 500 ANPs by 2021)

13. Health Visiting Role definition Revised HV education
SG funding for training additional 500 HVs to meet requirements of the C&YP Scotland Act ( 2014)
CPD for HVs

14. School Nursing Role definition New education Programmes
CPD for current SNs

15. General Practice Nursing
Role Definition and Competencies
New GMS Contract
NES managing significant SG investment in CPD for current GPNs
Commissioned evaluation of current GPN education provision
Continued funding for next 2 years

16. Put yourself in the shoes of those leading Transforming
Discussion point 1
Put yourself in the shoes of those leading Transforming
Roles
What do you think are the most important things to address if this change is to be effective ?

17. 3 key aspects of the refocused role
Enabling independence
Care for people who are frail or unwell
Caseload management and leadership

18. Refocused Role Pivotal role in integrated community teams
Senior Practitioner within the career pathway
High level generalist competencies
Across hospital/community’ boundaries - adapt and innovate
Work flexibly in partnership with patients, carers, communities, health and social care professionals and voluntary agencies

19. District Nursing V300 and Clinical assessment modules
Digital CPD Resource supported by 5 regional events
Small project funding
Future model for DN education in Scotland

20. District Nursing
Development of an Education and career development pathways model
applied to community nursing in first instance
publication prepared and almost ready to go
Recommendation for a nationally recognised caseload weighting tool/guidance and criteria on DN caseloads complementing exisiting WF/WL tools

21. Education and Career Pathway model: Community example

22. Transforming Roles Publications CNO Directorate

23. Now in your own shoes……………………
Discussion point 2
What do you think are the most important things to address if DN change is to be effective and what is already happening in your locality?
Now in your own shoes……………………