LEEDS COMMUNITY CHILDRENS NURSING SERVICE

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LEEDS COMMUNITY CHILDRENS NURSING SERVICE

• Skill mix and role design
• Doreen Escolme

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Component teams

• Leeds Childrens Nursing Team
• Leeds Childrens Continuing Care Team and Core
  Respite
• The Butterfly Team
• Hannah House

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Service roles

• Nurses Childrens and Learning disability
• Health Care Support workers
• General Support workers
• Play-workers
• Team secretaries
• Team leaders
• Professional Lead
• Service Manager
• New roles
• Carers/Senior Health Care Support Workers
• Generic Worker
• Associate Practitioner -Childrens Nursing.

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Linked roles

• Physiotherapist
• Social Worker
• Close collaborative working with many
  professionals and agencies both statutory and
  voluntary.

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Importance of skill-mix

• Diverse skills and knowledge to meet the holistic
  needs of children, young people and their
  families
• Sharing of knowledge, support and supervision
• Multi-disciplinary and multi-agency approach to
  meet health and social care needs
• Career framework to support career progression
• Building capacity and capability
• Effectiveness, efficiency and quality

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New roles

• Generic Worker provides combined health and
  social care
• Carer/Senior Health Care Support Worker-support
  staff trained within a competency framework
• Associate Practitioner-Childrens Nursing

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Why new roles?

• Generic Worker parent carers wanted 1 worker
  rather than 2. Able to offer more needs-led
  service.
• Carer/Senior Health Care Support Worker
  difficult to recruit qualified staff so explored
  skill-mix.
• Associate Practitioner a recognition of the
  level of expertise emerging within the Carer role
  and to aid career progression. Also explored
  option of Assistant Practitioner but did not
  progress as cannot APEL to nurse training.

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Developing the Carer role

• Engagement of staff in the development.
• Advice from professional bodies re supervision.
• 24/7 access to trained staff for advice.
• Robust clinical competency programme developed.
• Clear clinical parameters/clinical pathways set.
• Robust procedures re medications in partnership
  with parent carers.
• Clear governance needed to be in place including
  child specific competency checks
• Support, supervision and training.

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Rationale for the new role of Associate
Practitioner

• Acknowledgement of the level of clinical
  practice.
• Theoretical underpinning of clinical competency
  linked to academic study with accredited
  programme becoming available.
• Portfolio of NVQ standards (level 3)childrens
  and young people, which create staff fit for
  purpose.
• A1 Assessor role to support other Support staff
  undertaking NVQs.
• Staff development and career progression

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Associate Practitioner Childrens Nursing

• Experience in childrens community nursing.
• In-house competency programme accredited by
  Leeds Metropolitan University at Certificate
  level 60 CATS points
• NVQ-level 3 Children and young peoples standards.
• A1 Assessor
• Role in facilitating group Clinical Supervision

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Next steps

• Evaluation of role by activity undertaken,
  feedback from practitioners and other team
  members and feedback from families as
  appropriate.

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In Conclusion

• Each role in the service is valued for its
  contribution to the care of children, young
  people and their families.
• Skill-mix brings a richness to the service with
  diverse skills and knowledge being shared.
• Enables the service to be effective and efficient
  -not just from a cost perspective but from a
  capacity, capability and workforce planning
  perspective also.
• Provides quality care if robustly implemented.
• Delivers a more flexible, needs-led and
  responsive service for families.

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Any Questions?