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It’s not all about hospitals!
Helping people to stay independent,
maximising wellbeing and improving health
outcomes
Debbie Stubberfield Clinical Quality Director London Trust Development Authority for
Dr David Foster
Deputy Director of Nursing and Midwifery Advisor
Compassion in Practice- Everybody’s
Business
Compassion in Practice- Everybody’s
Business
• Laura Clarke – CPN, South London and the Maudsley Mental
Health NHS Foundation Trust
• Jeanette Hennessy - Clinical Midwifery Manager – Croydon
University Hospital NHS Trust -
• Chrispina Omoniruvbe - Lead Health Visitor, Homerton University
NHS Trust - [email protected] &
• Caroline Hart - Early Years Consultant/Early years Lead for
Hackney's 27 month Integrated Review Health and Early Years
Partnership, The Learning Trust - [email protected]
• Loretta McGurry, Family Nurse Partnership Supervisor, Croydon
University Hospital NHS Trust –
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]
Specific programmes within Compassion in
Practice
• Public health nursing and midwifery approach
• Health Visiting Call to Action and Implementation Programme
• School nursing development plan
• Service transformation - services for children and family/safeguarding/care pathways
• Community nursing
– Mapping nursing services in the community
– Supporting the health and wellbeing needs of carers – adults and young carers
– Producing model for District nursing (in partnership with the Queen’s Nursing Institute)
– Developing practice nursing forums
• Maximising the nursing and midwifery contribution to the ‘dementia challenge’
• Mental health nursing – no health without mental health
• Learning Disability – reducing inequalities
Leadership role for local authorities
Working alongside the NHS, with its continuing
role promoting health through clinical services
Stronger focus on health outcomes, supported by
the Public Health Outcomes Framework
Supported by a new integrated public health
service, Public Health England
Public health as a clear priority for Government,
backed by ring-fenced resources
New roles and
responsibilities Clear
priorities
The new public health system
National public health policy – Department of
Health
Public Health Outcomes
Framework
• Improving the wider determinants of health
• Health improvement
• Health protection
• Health care public health and preventing premature mortality
• Health and Well-Being Boards
Public Health practitioners
Specialist Community Public Health Nurses and Midwives
Nurses and midwives with specific primary and
secondary prevention roles: breast feeding, screening,
immunisation, infection prevention, sexual health,
vulnerable groups
All nurses and midwives maximising their role in health and
well being
Every Contact Counts Individual
Individual
caseload
registered list
Individual
community
population
Nursing and midwifery: improving and
protecting the public’s health
• Compassion means supporting people to improve health in
circumstances that are often very difficult with respect and empathy
• High levels of competence are required to deliver support and advice
that effects lifestyle changes which benefit the health and wellbeing of
families and communities.
• We know that it takes skilled communication and courage to raise
difficult health topics with people
• And it needs real commitment to provide care where the results may
not be fully realised for several years but ultimately improve health
outcomes for all.
‘Care is our business’ means action at
individual, family and population level. It
means prevention, early intervention and
health promotion, as well as treatment of ill
health
Nursing in adult social care
• Enabling relationship-centred care with all staff
working in adult social care settings
•Making every contact count through promoting access to reliable
information and advice on care and support to deliver positive early
intervention and prevention outcome.
•Utilising the widest range of resources through
signposting to universal services and activities that
support individuals and their families to be active in
their communities.
•Ensuring that people who fund their own care feel
supported to make informed choices and know where
to go for advice and support.
Adult Social Care
Outcomes Framework
• to promote people’s wellbeing and independence, instead of waiting for people to reach a crisis point
• to support people to maintain their independence and
• to stay connected to their communities, and will treat people with dignity and respect
• to give clearer entitlements, more and better information and support to navigate the care system
• to give a new statutory entitlement to personal budgets will mean that people are able to exercise real choice over their care and support, making the right decisions for them and their families.
The focus of care and support will be transformed:
Registered nurses, care and support staff working with the person and
their family to ensure meet the service user statements in new
legislation:
“I am supported to maintain my independence for as long as possible”
“I understand how care and support works, and what my entitlements
and responsibilities are”
“I am happy with the quality of my care and support”
“I know the person giving me care and support will treat me with dignity
and respect”
Nursing in adult social care
Achieved by: Evidence-based and relationship-centred care
Clinical oversight and assessment; management of
complex care needs
Standards: negotiated with service users and carers to
deliver safe and personalised outcomes
A joined up approach: from the perspective of the person
using the service
Midwives contribution to
maximising wellbeing and
improving health outcomes
•Every contact will count to influence and maximise the health and wellbeing of all
women, babies, families and communities throughout pregnancy, birth, the postnatal
period and beyond
•Midwives will seek to meet the challenges of reducing health inequalities through
improving maternal and population health, ensuring the best start in life, thus
contributing to a healthy life expectancy
•Midwives will deliver innovative, evidence based, cost effective, high quality care within
multi agency teams across hospital and community based health and social care settings
•Midwives will facilitate a positive and life enhancing transition to parenthood for women
and their families in collaboration with women and partners, which will be achieved
through the provision of trusted support and personalised care, taking into account
individual needs, risk and circumstances
•Sensitive, responsive bereavement services will be provided for those who experience
poor outcomes to meet the needs of the grieving process and promote long-term health
and well-being
•26th June 2013 DH – Leading the nation’s health and care
@DavidFosterDH
Make it personal –
what does all this
mean to you and the
people you care for?
Public Health Nursing
and Midwifery