modernising learning disabilities nursing - leadership dr ben thomas director of mental health &...
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Modernising Learning Disabilities Nursing - Leadership
Dr Ben ThomasDirector 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
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
Our Vision - developing the culture of compassionate care
Care is our
business
Compassion
Co
mp
etence
Communication
Courage
Co
mm
itm
ent
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.
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.
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
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
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
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
Nursing and Care Quality ForumBest practice must be common practice!
• People first• Values and culture• Skills, knowledge and time to
care• Leadership
Sally Brearley
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
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:
Learning Disabilities Nursing
• Strengthening capacity• Strengthening capability• Strengthening the quality
• Strengthening the profession
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
Ely Hospital 1969
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
Where do we want to be
• Strong leadership• Drive forward the
profession• Modernised workforce• Develop clinical
leadership• Clear career pathway• Succession planning
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
Learning disabilities nursing –a brilliant career