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Nursing policy and leadership: the view from the

Department of Health

Dr David Foster

Head of the Nursing, Midwifery and Allied Health Professions Policy Unit

Department of Health

2

National nursing leadership

Jane Cummings

Chief Nursing Officer

England

Viv Bennett

Chief Nurse

Public Health England

Peter Blythin

Trust Development

Authority

Lisa Bayliss-Pratt

Health Education

England

Nursing: policy and leadership

Ruth May

Monitor

David Foster

Department of Health

Dame Eileen Sills

National Guardian

3

National nursing leaders and influencers

Nursing: policy and leadership

Janet Davies

Royal College of Nursing

Gail Adams

UNISON

Baroness EmertonJackie Smith

Nursing and Midwifery Council

Dame Christine Beasley

Baroness Watkins

4

Nursing, midwifery and care staff strategy

Leading Change, Adding Value

Nursing: policy and leadership

The nursing and midwifery contribution to Five Year Forward View

Population health and prevention

The personalisation agenda

Ensuring productivity, safety and effective staffing

Optimising service transformation, innovation and improvement

Building and sustaining the future workforce

5 5Prevent avoidable disease, Protect health, Promote wellbeing resilience

Antimicrobial Stewardship

– the role of nurses and midwives

Antimicrobial stewardship aims to:

• Promote the appropriate use of antimicrobials

• Reduce AMR and decrease the spread of infections caused by multidrug

resistant organisms

• Improve patient safety and outcomes

Responsibilities of nurses

and midwives:

• Educating the public and

healthcare professionals in

the prudent use of

antimicrobials

• Prudent prescribing

• Promoting immunisation

• Improving surveillance

• Preventing and controlling

infection

• Becoming Antibiotic

Guardians

6

Lord Carter’s review

Operational productivity and performance

in English NHS acute hospitals:

unwarranted variations

Nursing: policy and leadership

• Care hours per patient day rather than

nursing hours per patient day

• Average 9.1hours of care provided by

registered nurses and healthcare support

workers per patient day but variation is from

6.33 to 15.48 hours

• National Quality Board – safe staffing

• Wales – safe staffing Bill

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Dame Eileen Sills

National guardian

for the freedom to speak up

• Sir Robert Francis review and recommendation and statutory duty of

candour

• Purpose:

– to work in partnership with CQC, NHS England and NHS

Improvement

– to reinforce good practice and take an independent stand to report

on any matters of concern affecting these bodies where required

– raising and responding to concerns so that it becomes a valued

and normal part of working in the NHS

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Nursing associates

Nursing: policy and leadership

“Nursing associates will be introduced next year to work alongside

healthcare support workers and fully qualified nurses focusing on

patient care. The role will bridge the gap between healthcare

support workers who have a care certificate and registered nurses”

“The role, which could also be a new route for those wishing to

become a registered nurse … Proposals will see staff trained

through this route learning on the job via an apprenticeship leading

to a foundation degree. The government will also look at what

opportunities there are for staff in this role to progress to become a

registered nurse through either a degree level nurse apprenticeship

or a shortened nursing degree at university”

Up to 1,000 nursing associates could be trained from 2016

Consultation on the HEE website until 11th March 2016

9

NHS bursary reform

• £825m a year (tuition fees,

bursaries, clinical placements)

• 60,000 students in England

• Universities will be able to offer

up to 10,000 additional training

places over this parliament

• Consultation coming

Nursing: policy and leadership

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The NMC Code

The Code:

• states professional standards that registered nurses and

midwives must uphold

• should be seen as a way of reinforcing professionalism

• has four themes• prioritise people

• practise effectively

• preserve safety

• promote professionalism and trust

Nursing: policy and leadership

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@DavidFosterDH

Make it personal

Nursing: policy and leadership