modernising learning disabilities nursing - leadership dr ben thomas director of mental health &...

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Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health & Learning Disability Nursing

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Page 1: Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health & Learning Disability Nursing

Modernising Learning Disabilities Nursing - Leadership

Dr Ben ThomasDirector of Mental Health & Learning Disability Nursing

Page 2: Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health & Learning Disability Nursing

Government, national policy and learning disabilities

• Norman Lamb MP –MS (CS)• Local Government HWB• Adult Social care• Safeguarding• Mental health• Physical & learning

disabilities• Third sector• Prison Health Services

Page 3: Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health & Learning Disability Nursing

National nursing leadership

Jane Cummings

Chief Nursing Officer

NHS Commissioning Board

Viv Bennett

Director of Nursing and Government Principal Advisor on Public Health

Nursing

Department of Health

Public health

Adult social care

NHS Outcomes

Leadership

Implementation & delivery

Page 4: Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health & Learning Disability Nursing

Our Vision - developing the culture of compassionate care

Care is our

business

Compassion

Co

mp

etence

Communication

Courage

Co

mm

itm

ent

Page 5: Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health & Learning Disability Nursing

Our values and behaviours are at the heart of the vision and all we do

Care Compassion Competence

Delivering high quality care is what

we do. People receiving care expect it to be right for them

consistently throughout every stage of their life.

Compassion is how care is given, through relationships based

on empathy, kindness, respect

and dignity.

Competence means we have the

knowledge and skills to do the job and the capability to deliver

the highest standards of care based on

research and evidence.

Page 6: Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health & Learning Disability Nursing

Our values and behaviours are at the heart of the vision and all we do

Communication Courage Commitment

Good communication involves better

listening and shared decision making - ‘no

decision about me without me’.

Courage enables us to do the right thing for the people we care for, be bold

when we have good ideas, and to speak up when things are

wrong.

Commitment will make our vision for

the person receiving care, our professions

and our teams happen. We commit

to take action to achieve this.

Page 7: Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health & Learning Disability Nursing

Delivering the vision

• Maximising health and well-being outcomes• Working with people to provide a positive

experience of care• Delivering high quality care and measuring

impact• Building and strengthening leadership• Ensuring that we have the right staff with the

right skills in the right place• Supporting positive staff experience

Page 8: Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health & Learning Disability Nursing

Leading change

Jane Cummings, CNO6 Cs of Nursing NHS Change Model

Compas

sion Courage

Com

mun

icati

on

Comm

itment

Care

Com

pete

ncy

a shared purpose to the vision

Making sense of it all to bring

Page 9: Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health & Learning Disability Nursing

National policy and nursing developments

• Vision and values

• Purpose and functions

• Organisational design

• Driving through change

• Improving and measuring health outcomes

• Maximising the contribution of nurses

Page 10: Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health & Learning Disability Nursing

NHS OUTCOMES FRAMEWORK

Domain 1

Preventing people from dying prematurely

Domain 2

Enhancing quality of life for people with long-term conditions

Domain 3

Helping people recover from episodes of ill health or injury

Domain 4

Ensuring that people have a positive experience of care

Domain 5

Care in a safe environment and protecting them from avoidable harm

2012/13

Page 11: Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health & Learning Disability Nursing

Nursing and Care Quality ForumBest practice must be common practice!

• People first• Values and culture• Skills, knowledge and time to

care• Leadership

Sally Brearley

Page 12: Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health & Learning Disability Nursing

Learning Disability Nursing

• 1995 – 12,504 in NHS• 2011 – 5,189 in NHS• 54% reduction (1,000 per

year)• Increasing vacancy factor

1,7% in 2009)• 600 student commissions

per year• 4/500 register with NMC

Page 13: Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health & Learning Disability Nursing

CompromisedWorkforce

Higher Education Issues•Challenges with recruitment•Filling commissions•High attrition•Financial incentives•Placements

Field of practice Issues•Level of/or uncertainty of career opportunity•Absence of leadership at all levels•Increased prevalence and complexity of

need in people with learning disabilities•Development and validation of new roles

Data/ Intelligence Issues•No modelling for retirement•Unreliable data sets•Third sector absent from strategic decision making•Conflicting data sets

Workforce Issues•Complex field of practice•Plurality of providers and stakeholders•Loss of experienced practitioners•Aging profile of workforce

The 4 major factors:

Page 14: Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health & Learning Disability Nursing

Learning Disabilities Nursing

• Strengthening capacity• Strengthening capability• Strengthening the quality

• Strengthening the profession

Page 15: Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health & Learning Disability Nursing

Strengthening the commitment The report of the UK Modernising Learning Disabilities Nursing Review

Strengthening the ProfessionStrengthening the Profession

• Promoting the profession• Leadership & management• Research & evidence

Page 16: Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health & Learning Disability Nursing

Ely Hospital 1969

Page 17: Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health & Learning Disability Nursing

Where we are now

• Changing patterns of service provision

• Services without nurses in a leadership role

• Nurses managed by other disciplines

• Nursing issues not identified and addressed

• No clear opportunities

• Lack of opportunities

Page 18: Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health & Learning Disability Nursing

Where do we want to be

• Strong leadership• Drive forward the

profession• Modernised workforce• Develop clinical

leadership• Clear career pathway• Succession planning

Page 19: Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health & Learning Disability Nursing

Determinants of Health (In)equalities as outcome measures

Determinant 1

Social factors

e.g. poverty, poor housing,

unemployment, social isolation

Determinant 2

Genetic & biological

conditions

Determinant 3

Personal health risks &

behaviours

e.g. self-harm, poor diet, lack of

exercise

Determinant 4

Communication difficulties

& reduced health

literacy

Determinant 5

Access to healthcare provision

Page 20: Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health & Learning Disability Nursing

Learning disabilities nursing –a brilliant career

Page 21: Modernising Learning Disabilities Nursing - Leadership Dr Ben Thomas Director of Mental Health & Learning Disability Nursing

Thank You

Contact details:

Dr Ben Thomas

[email protected]