Senior Nurses

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• Senior Nurses
• in Community Health Partnerships
• RCN Networking Event

Sally Lee Chief Nurse, Edinburgh CHPs 12 October
2005
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RECAP - Community Health Partnerships (CHPs)

• Part of a decentralised but integrated health
  and social care system. CHPs will
• ensure patients, carers and the full range of
  health care professionals are involved
• establish a substantive partnership with LAs
• have greater responsibility and influence in the
  deployment of NHS Board resources
• play a central role in service redesign locally -
  Lothian wide
• focus on integrating primary and specialist
  health services at local level and influence
  Lothian wide
• play a pivotal role in delivering health
  improvement for their local communities

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CHPs Making a Difference
Involving Benefiting Individuals, Families and
Communities
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(No Transcript)
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• Chief Nurse Edinburgh CHPs
• Discuss your three biggest challenges in the
  first 6 months in this post?

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The Challenges

• Must Dos - Local Priorities linked to National
  Imperatives
• Modernisation
• Maximising Nursing Contribution Workforce
  Planning Development
• Theme - Patient Professional Partnership
  Performance

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Must Dos

• Shifting the Balance
• Whole System Indicator / LITs
• Reduced Inappropriate Admission 20
• Reduced time spent in Hospital / Delays
• Reduced admissions to Nursing Homes
• Increased Home Care Packages
• Waiting Times Demand Referral
• Implementation Hall 4
• Implementation Mental Health Care Treatment Act

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Modernisation

• INVESTMENT, IMPROVEMENT, EQUALITY WELLBEING
• for
• patients / carers / public
• local authorities their staff
• GPs primary care attached staff
• NHS Organisations and their staff
• through
• service redesign, partnership
• patient public involvement
• improved staff morale workforce development
• demand management and flexibility
• reduced complexity / additional resources

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Improving Care Investing In ChangeThe
DriversNow well evidenced in Fit For The Future
2005Kerr ReportPATIENT PATHWAYManaged
Clinical Networks

• Better Acute Care
• Review of Older Peoples Services
• Mental Health Well-Being Services
• Together
• With
• Demand Management Project

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Nursing Contribution
Better Outcomes
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UK Pay Modernisation Shifting the
BalancePrimary Acute

• 1 National GMS Contract - QOF / Enhanced
  Services
• 2 Agenda for Change - KSF
• 3 Medical Consultant Contract
• 4 National Pharmacy Contract - capacity

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Maximising the Nursing Contribution Workforce
Planning Development

• Support Structures / CSDMs
• Establishment Resource
• Equity assumptions / observations
• Workloads / Caseload Dependency
• Actual V Perceived Needs of Patients
• Workforce Demographic Profile
• Traditional Models V Redesigned Patient Focused
  Care
• Framework for Developing Nursing Roles

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CAREER REDESIGN
Karen Lochart 2004
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My Contribution

• Leadership and Change Implementation
• Support Change and Implementation
• Harness Nursing Talent / Resource
• Build on Successes / Redesign
• Public Engagement and Involvement
• Staff Governance / Partnership Working
• Performance Management

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Through

• Teamwork
• Nursing Workforce
• Partnership Working
• Effective Communication
• Rapid Cycle / Focus on Achieving Results
• PFPI Staff Governance as a focal point

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6 MONTHS DOWN THE LINE AND BEYOND

• Meeting the Targets
• Engaged with staff, partners, patients, carers
  local communities
• As a CHP team agreed critical success factors and
  Health Improvement route map with local
  communities
• Agreed Integrated Service Models Fit for Purpose
• Delivering quality services through a talented
  and valued professional Nursing workforce

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• The Successful Delivery of healthcare services
  in Scotland relies critically on the scope and
  extent of the nursing and midwifery workforce
• Gerry Marr
• Nursing Midwifery Workforce Planning Project ,
  2004