Outstanding Models of District Nursing

This report aims to identify what makes an outstanding District Nursing service.  It explores a variety of District Nursing service models as well as the views and experiences of a wide range of stakeholders.  The report makes a number of recommendations based on the findings | Royal College of Nursing (RCN) and Queen’s Nursing Institute (QNI) 

In meeting the needs of patients, families and carers in the community, the key recommendations of this project are:

  • To create a workforce fit for purpose it is essential that District Nurses continue to
    gain a post qualifying District Nurse Specialist Practice Qualification (DNSPQ).
  • To develop a strategy which will expand commissioners’, providers’ and the public’s understanding and knowledge of the District Nurse role.
  • To promote the population health element of the District Nurse role.
  • To develop a national standardised data collection system and data set within
    England.
  • To develop a national standardised approach to the assessment of quality.
  • To support safe staffing and safe caseloads.
  • To actively explore the co-location of District Nursing teams within Primary Care
    Network.

Full report:
Outstanding Models of District Nursing.  A joint project identifying what makes an outstanding District Nursing Service.

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Digital Nurse Network

A new Digital Nurse Network has been launched by NHS England’s Primary Care Digital Transformation team to build a national community of nurses who want to learn more about digital, with the aim of improving patient care.

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The network is open to anyone in the nursing profession and will offer training, briefings and webinars as well as the opportunity for nurses to learn more about digital programmes and national initiatives across the NHS. There will also be opportunities to share knowledge and discuss ideas and issues. You can find out more about the Digital Nurse Network by emailing england.digitalnursenetwork@nhs.net

 

 

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Supporting young people through transition into adult care services (Sheffield Teaching Hospitals)

NHS England | November 2018 | Supporting young people through transition into adult care services 

Nurses at Sheffield Teaching Hospitals Foundation Trust (STHFT) recognised unwarranted variation in practice within the Trust where children were being transitioned between services, recognising gaps within coordination, information available to children and families and in some clinical specialist service areas, leading to delays in care.

 

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This led to the creation of a new role: the Children and Young People Lead Nurse  to  transition between children’s and adult services, offering support to all clinical specialist areas within the hospital. The Children and Young People Lead Nurse engages with families, children and young people with complex needs and provides specialist advice and support to staff to ensure prompt, safe transition into adult services. This role also aimed to support the development of pathways and standardised practice to ensure high quality care at transition was available to all complex needs children within the Trust.

The Lead Nurse developed the role by working seamlessly with the transition team at Sheffield Children’s Hospital and establishing a dedicated caseload of children and young people, to give a clear overview of the transition work being carried out by each clinical specialty. They provide education and training sessions for staff and partner agencies in understanding the needs of adolescents, as well as those with complex needs.

This yielded:

  • better outcomes
  • better experience
  • better use of resources  (Source: NHS England)

Full case study is available from NHS England’s Shared Atlas of Learning 

District nursing students lead change to reduce pressure ulcers in care homes

NHS England | October 2018 | District nursing students lead change to reduce pressure ulcers in care homes

District nursing students at the Bradford District Care NHS Foundation Trust (BDCT) led a programme of work to reduce the incidence of pressure ulcers in local care homes.  A case study of the programme is featured on NHS England’s Atlas of Shared Learning, it has demonstrated pressure ulcer reduction, as well as improved staff and resident experience, combined with better use of resources (NHS England).

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See also: Nurse leadership in providing a virtual community placement for nursing students

Nurse leadership in providing a virtual community placement for nursing students

NHS England | August 2018 | Nurse leadership in providing a Virtual Community Placement for nursing students

A recent addition to NHS England’s Atlas of Shared Learning is a case study of a nurse leadership in providing a virtual community placement for nursing students (NHS England).

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A Quality, Health and Innovation Lead in the Nurse Development Team at Bradford District Care NHS Foundation Trust (BDCFT) has developed a new placement model for  first year nursing students, to address variation in the experience and opportunities available to them.

Read the full case study at NHS England 

Of interest:

NHS England | District nursing students lead change to reduce pressure ulcers in care homes

Clinical informatics and digital delivery in health and care: a career framework outline for nurses and allied health professionals

NHS Digital | September 2018 | Developing a clinically focused digital workforce

NHS Digital has produced Clinical informatics and digital delivery in health and care: a career framework outline for nurses and allied health professionals- guidance, produced with input from Health Education England, NHS England, NHS Digital and the Royal College of Nursing, outlines a career framework to enable nurses and AHPs to develop a career in digital health/clinical informatics and help clinicians and professional bodies recognise their valuable contribution to systems development, implementation roll-out and evaluation (Source: NHS Digital).

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Further information at NHS Digital 

Clinical informatics and digital delivery in health and care: a career framework outline for nurses and allied health professionals

There are also toolkits for staff produced by NHS Improvement:

Effective deployment of digital systems in healthcare: a toolkit for clinical staff

Effective deployment of digital systems in healthcare: a toolkit for clinical staff — tools

 

 

NHS launches drive to improve ‘e-nursing’

NHS Digital has launched e-nursing week in support of the campaign to re-educate the NHS workforce for a digital future. | Story via OnMedica

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NHS Digital estimates that in many settings nurses provide 80% of patient care and they are often the clinicians leading the way in utilising new technology, and creating innovative ways of improving care using new digital tools.

The Royal College of Nursing says that the effective use of information and digital technologies is a key enabler in delivering better health and social care, now and in the future and its current campaign, “Every nurse an e-nurse” seeks to ensure nurses across the NHS have the tools, skills and resources they need to make the best use of technology and act as effective e-nurses.

Full story at NHS Digital

Related Chief Nursing Officer blog: Setting an example as technology leaders