1. Towards a Shared Concept for Community Nursing
Catherine Whitty
National Practice Development Co-ordinator
PHN Services

2. Developments in Community Nursing
Practice Development
Service Challenges/Strengths/Opportunities
Current national service developments

3. National Practice Development Post
Established March 2017 within ONMSD
Key purpose is to facilitate the:
promotion of safety and quality standards
expansion of excellence in practice
development of a national standardised approach
promotion of person centred cultures

4. What is Practice Development?
Practice development is a continuous journey of developing, and innovating in care settings, so that patients/residents, families and the team engage with each other in person-centred ways. This engagement is brought about by teams developing their knowledge and skills and changing the culture of care. It is helped to happen by the team working with systematic and continuous processes of development and evaluation that involve and include the views, experiences and needs of patients/residents, families, the team and others. (Dewing, McCormack & Titchen, 2014)

5. Challenges to Current Practice
Increased demands for the service
Staffing levels to meet current demand
Changing demographics
Earlier hospital discharges
Greater complexity of care needs
Chronic Disease Management
Patient Safety and Quality Standards
Requirement for Integrated Systems
Infrastructure
Economic recession

6. PHN Service Strengths Population Health Expertise Self Care Focus
Provision of care throughout Life Cycles
Community Health Promotion Model
Domiciliary

8. Service Opportunities
Development of primary care
New infrastructure
Planned ICT developments
Specialist post development
Child health services/Nurture

9. What’s happening?

10. Development of a national framework for Quality Improvement
Manage for best outcomes, positive patient experience and value for money
Development of a national framework for Quality Improvement
Established January 2018
Support of ONMSD and Community Operations
All CHO regions and grades within service represented
Head of Service and HEI Rep

11. Quality Improvement Group Work
ADPHN Development Programme
- Depend and Value Workforce
KPI on Tissue Viability Services
- Best Outcomes & Value for Money
National Mission Statement & Philosophy
- Transparency, Positive Patient Experience
Breastfeeding: BOAT
- Promote Health & Wellbeing

12. Primary Care Activity Metrics Child Health Activity Metrics
Manage for best outcomes, positive patient experience and value for money
Primary Care Activity Metrics
Child Health Activity Metrics
Electronic Caseload Management System

13. An honest, transparent, compassionate and accountable service
Discharge of Patient PPPG
Referral of a Patient to the PHN Service PPPG

14. Equitable and timely access to a quality safe service
Safe Administration of Medication Project
Standardised national request form for prescribers to include;
Essential demographic, medical, medication
and prescriber details
Review Mechanism
Standard for auditing

15. Promote Health & Wellbeing
Developmental Screening – ASQ-3
Sleep Management Preschool Children
BOAT

16. Future Developments Enabling Person Centred Cultures
Maternal Postnatal Record
Exemplars from practice for expansion?

17. “New Horizons…” An opportunity to; Create a shared vision
Develop the strength of collective
Question and challenge
To support access and equity of service for all clients

18. You cannot swim for new horizons until you have courage to lose sight of the shore.
William Faulkner