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A year in retrospect, the year in prospect. Ministry of Health update Emma Mold , RN MN (clinical) Senior Advisor Nursing Office of the Chief Nurse August 2012. System and clinical integration. Stronger clinical leadership Accelerating quality and safety improvements

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a year in retrospect the year in prospect

A year in retrospect, the year in prospect

Ministry of Health update

Emma Mold, RN MN (clinical)Senior Advisor Nursing

Office of the Chief Nurse

August 2012

system and clinical integration
System and clinical integration
  • Stronger clinical leadership
  • Accelerating quality and safety improvements
  • Higher system performance and future sustainability
  • Improve nat’land regional sustainability
  • Minimise admin costs; reduce bureaucracy & waste

Briefing to the Incoming Minister of Health

- Meeting the Sustainability Challenge

- Accelerating the Pace of Change

system and clinical integration1
System and clinical integration
  • Across the care spectrum
  • Services and demand is shifted to primary
  • New workforce models and new workforce training
  • Health IT is key enabler
  • Health resources use is productive
  • Coordination of services empower people to manage their own health

At its heart, integration “seeks to improve the quality of care for individual patients, service users and carers by ensuring that services are well co-ordinated around their needs.” (Kings Fund 2012)

system and clinical integration2
System and clinical integration
  • Child and Maternity
  • Long Term Conditions
  • Wrap Around Services for Older Adults
  • Urgent and Unplanned Care
  • Integrated Family Health Centres
  • Incentives for wider system change

The 2012/13 focus

  • Education
  • Regulation
  • The professions
  • Employer
  • Policy

Joined upnursingleadership

  • Centralised NETP Recruitment
  • Nursing workforce plan
  • Voluntary bonding

Strengthening Nursing Workforce

legislation and regulation
Legislation and regulation
  • Removal of Barriers to innovation
  • Medicines Amendment Bill
  • Health Practitioners (Statutory References) Bill
  • Health Practitioners Competence Assurance Amendments Bill
  • Mapping Archetypal Models of Care to inform policy change

Unleashing the potential of nursing

quality and safety
Quality and Safety
  • Consolidation of productive work
  • 2 nurse sensitive Indicators (Falls & Pressure Injuries)
  • Healthcare Acquired Infection
  • Care Capacity Demand Management

Nursing’s contribution to hospital quality and safety

what we can do better
What we can do better
  • Support for nurses in isolation
  • Support for transition to practice
  • An option for mid-career nurses

Strengthening of health of older people workforce

the future
The future
  • Services as close to the patient as safe and effective as possible
  • Generalist with specialist support
  • Knowledge and skills framework
  • The base
  • The topping: technical and specialist skills

A conversation about future health services

what we can do
What we can do

Ensure our needs are understood:

  • Generalist focused education
  • Focus on primary and community workforce
  • Specialist training to support generalists
  • Well articulated knowledge and skills framework
  • Models of care and funding and education policy to support.

The work is beginning…