Shape of Caring Event 22 nd July 2014. Kathy Branson Director – Special Projects Health Education East of England. Agenda. Shape of Caring review: Education for tomorrow’s nurses Lord Willis of Knaresborough East of England LETB. Context for change.
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22nd July 2014
Director – Special Projects
Health Education East of England
Education for tomorrow’s nurses
Lord Willis of Knaresborough
East of England LETB
Growing population – 3 million by 2020
Challenge of Aging population
Challenges of long term chronic disease management
Kidney Disease 45%
Obesity: 48% Men and 43% Women by 2030
Chronic care management: 70 - 75% of costs of NHS
Demands will rise but budget will not keep pace
Patients, families and communities
The majority of healthcare will be managed out of the hospital setting, with more care being provided in the community. Patients will be encouraged to self-care as much as possible:
HCSWs in healthcare – 270,000
HCSWs in social care – 1.2 million
Registered nurses – 500,000
These staff deliver most hands-on patient care
Their access to education and training vary
Prime Minister’s Commission on the Future of Nursing and Midwifery (2010): 20 recommendations relating to nursing/midwifery
Willis (2012): 29 recommendations relating to nursing
Francis (2013): 29 recommendations for nursing/HCSW
Cavendish (2013): 18 recommendations for HCSWs
Currently we lack a coordinated response
Build on existing best practice
Solution and evidence based!
Commissioned by HEE
Sponsoring Board jointly chaired by HEE/ NMC and includes:
Council of Deans; NHS England, Public Health England; LETB’s; NHS Trust Development Authority (TDA); LETB’s; RCN; Unison
In attendance: Chief Nursing Officers: Wales, Scotland and Northern Ireland; Researcher from Kings College, London.
Independent Chair – Lord Willis of Knaresborough
Reports: February 2015
Call for evidence/engagement
Review of the literature
Involving a cross section of staff:
Increasing patient/carer voice & service user involvement
Valuing the role of the Care Assistant
Widening opportunities for Care Assistant career progression
Assuring flexibility in the model of education and training for the future
Assuring & maintaining high quality learning environments for the future
Assuring Registered Nurses continuous learning and development
Enabling research, innovation and evidence-based practice
Reviewing the use of funding and commissioninglevers to drive up quality
Contact details: email@example.com
23 pre-registration nursing programmes commissioned per year by HEEoE
£100m + per annum
The Francis Report identified need for us to ensure programmes meet existing healthcare requirements now and in the future.
The review will align planning for future provision with the emerging implementation of the National Standard Contract Framework
Safer staffing standard/National shortage of nurses
The study design will be built upon the principlesof Health Education East of England:
With quality at the heart of everything we do:
Quality of patient care
Quality of education provision
The following 4 KLoEs,underpinned by a number of detailed questions, will be considered in the review:
How do we determine what excellent nursing education should look like and how it should be delivered?
How do we ensure the right learning environment?
What is the optimum commissioning pattern for nurse education?
How do we ensure that we have the right applicants on our nursing programmes?
8 workshops for nurses (n=191)
3 workshops for service users (n=42)
1 HEI workshop (n=19)
4 workshops for students (n=86)
Collected data (taped and written), analysed by key themes
Carried out a Preliminary Literature Review – setting the context
The little things which count………..
Interviews with key stakeholders
Testing & implementation
Website on HEEoE: http://eoe.hee.nhs.uk/our-work/fundamental-nursing-review/
Barriers to Effective Practice Learning in Nursing and Suggested Solutions
Barriers to Effective Practice Learning in Nursing and Suggested Solutions (continued)
Maximum of 2 areas
Grow Coaching Model (Whitmore, 2009)
Maximum of 3 students
Student leads care –
delegates to day coach
Clinical Educator supports challenging conversations and failing to fail issues
“Better awareness and understanding of what’s expected of a ward nurse”
“……a license to step back and push the student”
“Ensures we consider the rationale behind decisions”
“Allows students to work as nurses - not be followers
“I felt as though I could really concentrate (my care) on those patients”
“Students more involved, gained more insight, more enquiring”
Service users, nurses and students told us
nurses should recognize / have knowledge of:
Preceptorship Programmes Do you have in place, or are currently developing?
DEVELOPMENT PROGRAMMES – what is out there and what do we need to build on?
Do you have a District Nurse Training Programme ?
Pre-degree care experience pilot; part-time undergraduate courses (OU)
Minimum standards; Certification; Apprenticeships and Advanced Apprenticeships
Prince’s Trust; Job Centre Plus;
NHS Careers and Schools;
Traineeships; Project Search
Incorporating the NHS Constitution and Values