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Visible accessible integrated care

This study delves into the perspectives of managers, practitioners, and staff nurses on implementing integrated care. Themes highlighted include staff shortages, community involvement, and balancing hospital and community care. The report also addresses concerns such as timescales, consultation processes, and rationales supporting the review. Challenges of skill mix and cost cutting are discussed, along with the impact on workforce capacity planning. The study investigates the shift towards community-based care, examining roles like community health nurse and the competence required. It also analyzes the effectiveness of education in supporting practice and enhancing public health efforts. Overall, the evaluation aims to assess the viability of the new service model and the sustainability of healthcare initiatives.

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Visible accessible integrated care

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    1. Visible accessible & integrated care 4 Focus Groups Key themes and emerging concerns about implementation Direct Quotes 60 x Managers, Practitioners, Educationalists. Staff Nurses Qualitative analysis / Face validity

    2. Negative Impact of the Report

    3. Over-riding Concerns Timescale Consultation Process Rationales underpinning the Review Objectivity of the implementation Evaluation? All to do with staff shortages The driver is skill mix / cost cutting

    4. Bringing Folk on Board Community Nurse Practitioners General Practitioners Social Care and Local Authority Patient and public involvement

    6. Shifting the Balance Hospital to community care Assisted Passage Coming Out Education to Deliver

    7. Undergraduate Education Education to support Practice

    9. The new Service Model

    10. Community Health Nurse Generic Role Competence Maintenance Juggling Priorities / Public Health? Care of Children Single Access Point Enabling Patients / Self care Empowering Carers?

    11. Will it all stack up?

    12. Capacity Planning Properly staffed? Caseload reduction? Increased demands? Recruitment and retention? Current workload pressures

    15. Development Site Activity Educational support? Capability Framework produced & used Enough Practice Teachers? Mapping of community needs Assessment of local need Nursing resource diverted to deprivation

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