1. Transforming Nursing for Community & Primary Care; HEE Workforce Project Sharon Harrison, National Programmes 6th February 2015

2. Policy and drivers
Background and Context
Transforming Nursing in Community and Primary Care programme
What are HEE doing
How you can help

3. Policy & drivers
A Mandate from the Government to Health Education England: April 2014 to March 2015;
Care in Local Communities: a new vision and model for District Nursing (DH, January 2013)
The NHS belongs to the people: a call to action (NHS England, July 2013)
Improving General Practice; a Call to Action’ (NHSE August 2013)
Transforming Primary Care; safe, personalised, proactive out-of-hospital care for all (DH, April 2014)
Five Year Forward View (NHS England, October 2014)
Framework 15 | Health Education England Strategic Framework (June
The Shape of Caring Review, Independent Chair, Lord Willis of Knaresborough, due to report to the Sponsoring Board by the end of March 2015

4. Background and context
Individual needs are changing; sustainable NHS to meet the challenges of ageing population and increase in the number of patients with LTC incl. dementia frail elderly
fundamental change in how we deliver and use healthcare services;
not about unnecessary structural change; finding ways of doing things differently;
harnessing technology to improve productivity;
putting people in charge of their own health and care;
integrating more health and care services and lowering costs to the NHS overall such as through fewer hospital visits and more community based care, including care delivered in peoples homes.
Move care from acute care setting to home/nearer home needs nursing services able to meet care need

6. Practice and District Nursing key workforce
(HCICS, 2015) identifies a 5.7% drop in the number of District nurses working in community service during
7 of 33 DN courses in England did not run in 2012/13 (QNI, 2013)
lack of profile of DN as a career option, partly due to nurses having little exposure to community nursing practice in their training
60% of the DN workforce are aged 45 or over
most employing organisations use modular courses or in-house training as an alternative to the DN course
Practice Nursing:
numbers of General Practice Nurses (GPNs) had declined by 10% between 2006 and 2010,
a large number were reportedly in the 50+ age range,
demand for practice nurses services is likely to grow,
there needs to be a structured approach to training and support

7. Community Nursing Strategy Programme (now known as TNCPC)
Scope:
DN & GPN nursing services

8. TNCPC Workstreams Commissioning development SRO – Hilary Garratt, NHSE
provide commissioners with robust and evidence based tools to inform commissioning intentions for staffing
Integration SRO – Jane Cummings, NHS
synergise the nursing contribution with national and local
integration priorities identify and develop potential commissioning
models
Public Health SRO – Viv Bennett PHE/DH
use the commissioning process to incentivise providers and independent contractors to prioritise prevention
Workforce SRO – Lisa Bayliss-Pratt, HEE

9. HEE Workforce Project
Purpose:
ensure an adequate supply of highly skilled, competent staff to improve individual outcomes and support the move of care out of acute settings into primary and community settings
Objective:
Education and training delivery that meets the changing needs of District & Practice Nursing Services.

10. Transforming Nursing for Community & Primary Care Programme

11. So what are we doing at HEE
1. Educational Framework for DN & GPN nursing services that includes;
education commissioning service specifications
career framework supported by educational standards
definition of the CPD requirements of the current workforce
2. Transition courses*
HEE will work with the RCN and universities to ensure that nurses currently working in the acute sector and wishing to work in the community, have ready and easy access to courses to enable them to do so and are supported to making this switch.
Workforce planning guide & tools
Commenced November 2014
Increase the availability of pre registration practice placements in the
community*
By September 2015, all pre-registration nursing students experience an assessed and dedicated period of time in a community based setting.
* HEE MANDATE DELIVERABLES

12. Impact
General Practice and Community Nursing as an attractive career option
Professionalises General Practice Nursing
Clear career pathway in to community and general practice nursing
Supports workforce planning
Improves quality and governance of Primary care through standardised education and competency
CQC readiness

13. 3 Questions
How can we future proof the outputs, keeping up with the current movement in policy
Do you think we have missed anything, if yes what?
How can you help?
Testing out the products as they develop
Sharing your good practice with us

14. Regional Events South (Reading) - 12 March
Green Park Conference Centre
100 Longwater Avenue
Green Park
Reading
Berkshire
RG2 6GP
United Kingdom
 North (Manchester) –26th March
The Monastery Manchester
89 Gorton Lane
Manchester
Greater Manchester
M12 5WF
Midlands & East  (Leicester) - 23 March
Leicester City Football Club
King Power Stadium
Filbert Way
Leicester
Leicestershire
LE2 7FL
London (Central London) –27th March
Coin Street Conference Centre
Coin Street Neighbourhood Centre
108 Stamford Street
London
Greater London
SE1 9NH

15. Contact: