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Shape of Caring Event 22 nd July 2014

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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Shape of Caring Event 22 nd July 2014

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  1. Shape of Caring Event 22nd July 2014 Kathy Branson Director – Special Projects Health Education East of England

  2. Agenda

  3. Shape of Caring review: Education for tomorrow’s nurses Lord Willis of Knaresborough East of England LETB

  4. Context for change Growing population – 3 million by 2020 Challenge of Aging population Challenges of long term chronic disease management Diabetes 25% Kidney Disease 45% Dementia 25% Obesity: 48% Men and 43% Women by 2030 Chronic care management: 70 - 75% of costs of NHS

  5. Context for change continued… • Changes in technology – personalized medicine • Changes in patient demand • Changes in Commissioning • Changes in care delivery

  6. Context for Change Funding Uncertainty: • Continued growth over past 50 years • NHS spend now larger than education and defence • 1 in 16 people in England are employed by NHS Future Funding Demands will rise but budget will not keep pace

  7. Constant factors Patients, families and communities ‘Caring’ workforce

  8. A vision for the future… 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: • Patients will be better supported to manage their own health, with better outcomes for individuals and better value for money • Patients will receive high quality care wherever they are and at the time of their choosing, reducing inequalities and outcomes • Patients will have higher quality relationships with healthcare professionals, reducing unnecessary visits to different specialists, leading to satisfaction for patients • Patients will benefit from the latest research and technology, whilst being treated with care and compassion • (Framework 15: HEE’s Strategic Framework 2014-2029)

  9. Care support and nurses in England 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

  10. Shaping tomorrows workforce… 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

  11. Shape of Caring review Patient centered Evidence based Build on existing best practice Output focused Career focused Skill focused Solution and evidence based!

  12. The Shape of Caring review 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

  13. How we are doing it Call for evidence/engagement Review of the literature Engagement events: • HCA’s, nurses, educationalists and the public Involving a cross section of staff: • Independent sector, prison health, community, acute, voluntary sector • Commissioning Groups • Social media • Surveys and questionnaires

  14. The Shape of Caring - Emergent themes: 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

  15. Thank you Contact details: willisg@parliament.uk

  16. Overview of HEEoE Review of Pre-Registration Nurse Education – Kathy Branson

  17. HEEoE Review-Overview 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 ”

  18. Design Principles The study design will be built upon the principlesof Health Education East of England: Patient-focused Provider-led People-centred With quality at the heart of everything we do: Quality of patient care Quality of education provision

  19. Key Lines of Enquiry 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?

  20. Who did we ask? 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

  21. Mentorship

  22. Partnership HEI/Practice

  23. Core Skills and Knowledge

  24. Values: Care, Compassion& Resilience

  25. Values: Care, Compassion & Resilience The little things which count………..

  26. Service user & patient involvement

  27. Preparation for working in a range of settings

  28. Selection of Future Nurses

  29. Future Commissioning Patterns

  30. Next steps Interviews with key stakeholders Online surveys Testing & implementation Website on HEEoE: http://eoe.hee.nhs.uk/our-work/fundamental-nursing-review/ Twitter: @HEEoENurse

  31. Tea & Coffee Break

  32. Evidence Base for Practice Education – Anne Devlin

  33. Developing professional practice and expertise requires being ‘in practice’ and ‘doing practice’

  34. A Model of Effective Practice Learning in Nursing

  35. Barriers to Effective Practice Learning in Nursing and Suggested Solutions

  36. Barriers to Effective Practice Learning in Nursing and Suggested Solutions (continued)

  37. New Models of Practice Education – Chris Sykes

  38. Collaborative Learning In Practice (CLIP) Project

  39. Situational Leadership Maximum of 2 areas Clinical Educator Grow Coaching Model (Whitmore, 2009) Mentor Maximum of 3 students Student leads care – delegates to day coach Day Coach Clinical Educator supports challenging conversations and failing to fail issues Patients allocated: Student 2 3 3+ Year 3 Year 1 Year 2

  40. “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 (spoon-fed)” “I felt as though I could really concentrate (my care) on those patients” “Students more involved, gained more insight, more enquiring”

  41. Dual Qualifications: Moving Up and Sideways – Carol Edwards

  42. Dual Qualifications Moving Up and Sideways Service users, nurses and students told us nurses should recognize / have knowledge of:

  43. Options

  44. Steps That Have Been Takenand Work to Consider

  45. Community Preceptorship and Pathways – Julia Whiting

  46. Preceptorship into community and community pathways Preceptorship Programmes Do you have in place, or are currently developing?

  47. Do you have an induction programme for HCA’s ? DEVELOPMENT PROGRAMMES – what is out there and what do we need to build on? Do you have a District Nurse Training Programme ?

  48. Grow Your Own – Kathy Branson

  49. Why grow your own? • Valuing effective delivery of essential care • Person centred & integrated care • Skills gap and youth unemployment • Representation & inclusivity • Cost benefits

  50. What we have already • Band 5+ • Registered professions & specialist roles • Band 4 inc • Assistant • Practitioners Pre-degree care experience pilot; part-time undergraduate courses (OU) • Band 2 • & 3 Foundation degrees; Higher apprenticeships • Band 1 & • Pre-employed 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

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