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Magdalena Wood, General Practice and Community Nursing Programme Lead for NHSE Nursing Workforce Summit – Reading –
2nd July 2015
Transforming nursing in primary care and community setting in the South West
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General Practice and Community Nursing Development Programme
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Our Challenges
The Patient’s journey The Nurses’ career
Desired Actual Desired Actual
DUPLICATION
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What shaped our response and approach?
• A short story of a Lone Nut and a Follower
• NHS IQ Leading Transformational Change methodology
• Wicked Problems and Clumsy Solutions theory
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Win wins!
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Primary Goal 1 ProjectsSecondary
Goals
Enhance Person
Centred Co-
ordinated Care
1a. Improve Patient Experience
1b. Influence the alignment of Frailty and Living Well agendas
Support new ways of working for front line General Practice and Community nursing staff (1a)
Assist to embed Frailty Toolkit into Primary Care (1ab)
Identify opportunities to strengthen links with voluntary sector, care homes and independent sector (1ab)
Develop and embed simple guidance for General Practice on MDTs and facilitation (1b)
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Primary Goal 2
ProjectsSecondary Goals
Mobilise and Activate Nursing
Workforce Development
2a. Enhance Skill Mix of Nursing Staff
2b. Strengthen Innovation
2c. Improve Recruitment, Retention and Succession Planning
Equip General Practice and Community nurses to promote self care – giving them skills in: Motivational Interviewing, Self Management Plans and Coaching for Nursing Leads (2ab)
Improve access and equity (for practice nurses) to information, training, job opportunities and peer support via the new General Practice Nursing website (2abc)
Nurture Nurse Leaders: Recognise and support existing nurse leaders, Identify and promote leadership opportunities, Facilitate a forum for nurse leaders and Encourage nursing presence at board / decision making meetings (2abc)
Create opportunities for joined up training courses for General Practice and Community Nurses (2bc)
Identify opportunities to increase number of students in General Practice and Community Nursing (2c)
Map out education providers for General Practice and Community Nurses(2c)
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Primary Goal 3
ProjectsSecondary Goals
Identify and Improve
Efficiencies
3a. Identify and share best practice
3b. Influence Commissioning Practice
3c. Minimise Duplication
Support and enhance local networks to improve services (3ab)
Share learning from the Living Well project (3a)
Identify opportunities to improve communication and reduce duplication (3abc)
Influence development of proposed career frameworks (3b)
Implement Peninsula wide PGD (Patient Group Directions) (3bc)
Engage General Practice and Community Nursing in a rolling programme of conferences and events (Secondary goals: 123)
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• Practice Nurse voice and representation• Shaping education provision• Building and supporting networks• Sharing learning and best practice • Exploring and developing integrated ways of working
between GPNs and DNs• Building bridges between professional forums (GPNs, DNs,
CMs)• Implementing MDTs across the system
A great opportunity for all nurses to become involved
What does it mean for the workforce locally?
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www.devoncornwallpn.co.uk
Addressing workforce issues in general practice
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• Set up a strategy group with Plymouth University• ‘Shared’ community and general practice student
placements model being designed
• Student Nurse Placements in General Practice – What’s in it for me? - promotional video
Increasing student placements in general practice
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Embedding the Multi-Disciplinary Team (MDT) guidance across the system
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• http://leadershipforchange.org.uk/wp-content/uploads/Keith-Grint-Wicked-Problems-handout.pdf
• www.devoncornwallpn.co.uk • www.knowledgebucket.org • MDT guidance/ connect with your community teams
• www.networksdiagnostic.org.uk
Further resources
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Thank you for listening!
Magdalena Wood
General Practice and Community Nursing Development Programme Lead
0776 997 2652
NHS England South West Sub region
(Bristol North Somerset Somerset, South Glos Devon Cornwall &Isles of Scilly)
Peninsula House | Kingsmill Road | Saltash | PL12 6LE
14
