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Ruth Walker Executive Nurse Director
Does education have a role in the preparation of the workforce for
advanced practice?
An employers view
Cardiff and Vale University Health Board
• Services a population 500,000 people• Budget £874 m• Services include• Primary/community • Secondary • Tertiary• Mental health services
• 2 acute hospitals• Community hospitals/GP practices/health
centres
Cardiff and Vale University Health Board
• StaffingTotal-15,000• Nurses 5,188
• Reg-3,602• Unreg-1,586
• Nurse Practitioners 82• Clinical Nurse Specialists 199
What is the agenda for Nurses?
Profession• Nursing Midwifery Strategy• Modernising Nursing
Careers• Community Nursing strategy• Education/Training/
development• Free to Lead /Free to Care• School Nursing• Midwifery 2020• Career Framework
Corporate
• NHS Reorganisation • Financial Challenge• Performance
Management• Healthcare standards• Service Modernisation
Integrating (3)An example of integrated governance
Links between the Healthcare Standards, other National priorities and the 1000 Lives Campaign
Healthcare Standards for Wales, e.g.• Standard 5: Healthcare associated infection• Standard 19: Medicines Management• Standard 16: Learning from incidents• Standard 28: Accountability, leadership for quality
NPSA Alerts and notices:• Critical care• anti-coagulation• ‘Clean your Hands’• ‘Being Open’ policy
National Clinical Strategies:• Critical Care Strategy• HCAI’s in hospital and community settings
NICE Guidance:• Care of acutely ill patients in hospital• Infection control• Peri-operative hypothermia
1000 LivesCampaign
..the campaign as a vehicle for delivery..
28.a. Employer organisations ensure that job descriptions for new level 7 Advanced Nurse Practitioner (ANP) posts reflect the description and role competencies of advanced practice.
28.b. ANP post holders hold an appropriate master’s level award and can demonstrate advanced levels of knowledge and skills commensurate with the role, and high levels of decision making, problem solving and critical thinking.
28.c. Service employers have in place transition arrangements to support current ANP post holders who do not possess an appropriate master’s degree. AP(E)L arrangements are considered.
Recognition of specialist and generalist practice up to advanced level. Education and training to prepare practitioners for roles – emphasis on knowledge and skills preparation that can be transferred. Clinical Nurse Specialists to have a degree in a relevant
subject and be able to demonstrate competencies in field.
Advanced level practitioners – accepted principles set out in Advanced Practice Toolkit. Academic level set at master’s level.
Pre-registration degree level preparation
5
6
7
8
9+
Level
WIDE ENTRY GATE
Consolidation of practice
Careers in: generalist/ specialist clinical posts, academic and teaching posts.
Continued education in 4 ‘pillars’:• Clinical/Professional Practice • Leadership and Management • Facilitated Learning & Development• Research
Registration
Careers in consultant, senior and strategic level roles, senior clinical academic and academic/research posts.
Continued education in 4 ‘pillars’ plus (where appropriate)• Strategic service development• Corporate skills/responsibilities
Overview of the career framework
Graduate and post graduate
level study
Post graduate to doctorate level study
Advanced Practice
Careers in advanced generalist/ specialist roles, ward manager posts, management, education and research posts.
Continued education in the 4 ‘pillars’
Career Advice
Ultimate GoalUltimate Goal
Right Person doing the Right Thing to the Right Patient at the Right Time in the Right Place