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| CNO Bulletin - July/August
2002 |
Welcome to the twelfth edition of the monthly
CNO bulletin.
Contents this month:
1. Chief
nursing officer conference
2. Getting on against the odds
3. Workforce event
4. Mental health nursing - focus on primary care
5. NSF older people
6. Patient and public involvement
7. New appointments
8. Nursing honours list
9. Community
budgets
1.
Chief nursing officer conference
Directors of nursing and lead nurses in primary care trusts will shortly
be receiving a diary note about this year's Chief Nursing Officer's conference
from 13-15 November at the Palace Hotel, Torquay.
The theme this year
is 'Moving forward. And beyond - collaborating to deliver change.' For
further information please contact theglasgowsgroup on 01772 767723 or
e-mail cnoconference@glasgows.co.uk
2.
Getting on against the odds
Leadership development remains high on the Government's agenda. The NHS
Leadership Centre, part of the Modernisation Agency, was established just
over a year ago to implement the commitment made in the NHS Plan to 'deliver
a step change in the calibre of NHS leadership'.
Getting on Against
the Odds is a practical learning resource produced by the NHS National
Leadership Centre. Aimed at managers and clinical professionals, it supports
the development of nurses, midwives and health visitors from black and
ethnic communities.
The candid resource
features the triumphs, successes and struggles of black and ethnic nurses,
midwives and health visitors. It offers solutions, options and a way forward.
Most importantly,
it should make us consider what part we will each play to ensure that
black and ethnic nurses, midwives and health visitors are enabled to take
on NHS leadership roles within our diverse workforce and communities.
Getting On Against
the Odds will be launched on 8 July at the PCT Conference in London.
For copies of the document please contact John Lancaster on john@nursingleadership.co.uk
3.
Workforce event
The Changing Workforce Programme, with colleagues from workforce confederations
is running a major workforce event on role redesign on 14 October 2002
at the Barbican Centre, London.
The event is the biggest
of its type in the UK, focusing on new roles in health and social care.
It will comprise key-note speeches, practical workshops and an information
'market place', giving delegates the opportunity to learn the various
tools and techniques involved in role redesign.
The event is suitable
for frontline staff, HR Directors, clinical directors, support staff and
all those involved in workforce modernisation.
To book a place at
this event please call Lezette Dreyer on 020 210 5882 or email her on
lezette.dreyer@doh.gsi.gov.uk
4.
Mental health nursing - focus on primary care
This is now the fourth mental health nursing insert, but for those of
you just joining us, I am the director of mental health nursing at the
Department of Health. I invite you, through this contribution, to contact
me directly to share your views and questions about mental health nursing
issues, and many of you take me up on this! Thank you for your supportive
comments in respect of a regular monthly section about mental health issues.
Please feel free to join in.
This month, I want
to focus on mental health issues in primary care settings. I know from
those of you who have written to me that this is an issue of interest,
challenge and opportunity. I'm particularly pleased that non-mental health
nurses have felt able to e-mail me with their thoughts. Thank you - I
encourage your colleagues to do so too.
I'll remind you that
Paragraph 14.29 of the NHS Plan says "Most mental health problems
are managed in primary care. One in four GP consultations are with people
with mental health problems, so improving these services will have a major
impact on the health and well-being of the population.
"This has led to proposals for new workers in primary care. One thousand
new graduate primary care mental health workers, trained in brief therapy
techniques of proven effectiveness, will be employed to help GPs manage
and treat common mental health problems in all age groups, including children…
"500 more community
mental health staff (gateway workers) will be employed to work with general
practitioners and primary care teams, with NHS Direct, and in each accident
and emergency department to respond to people who need immediate help.
These staff will be able to call on crisis resolution teams if necessary."
You can read more
about all of these issues on www.doh.gov.uk/mentalhealth
I have had some really
useful ideas from you about the impact that these new workers might have,
and also the specific issues for nurses in primary care settings, who
may or may not be mental health nurses themselves. I'm keen to hear more
and hope that this bulletin will prompt you to write.
I would like to share
your comments with my colleague Gary Hardman, who has a special interest
in primary care, so let us know your views!
Warmest regards,
Rachel Munton
Director of mental health nursing
5.
NSF older people
A new publication aimed at assisting the development of intermediate care
was published in June. Intermediate Care Moving Forward is available
at
www.doh.gov.uk/intermediatecare/icmovingforward.htm
Standard 4 NSF: General
Hospital Care requires hospitals to have undertaken a skills audit of
all staff relating to the care of older people, and to have in place a
development plan by April 2004. Nurse directors may wish to consider this
in light of the breadth of the audit.
- older people
- nurse consultant network
The nurse consultant network for nurses working in older people services
and intermediate care has been meeting for one year with Deborah Sturdy,
nurse advisor for older people at the Department of Health. This is
proving a valuable exchange of information between the field and policy
and the group have outlined the focus of meetings over the next six
months. Any nurse consultants who wish to join the group should contact
Deborah at the address below.
- single assessment
process
Guidance on the single assessment process for older people was issued
to local NHS bodies and councils with social services responsibilities
on 28/1/02. Further practice guidance on assessment tools and scales
was issued in February with an update in March. The guidance can be
accessed on http://www.doh.gov.uk/scg/sap/index.htm.
The single assessment process will mean that older people's needs are
assessed in a timely, rounded and proportionate way, with the older
person's views and perceptions at the heart of the process. It will
bring professionals together across health and social care, ensuring
that assessment activity is streamlined and co-operation is optimised.
Full implementation is required by April 2004.
- advisory group
nursing older people
The first meeting of the nurse advisory group for older people will
be in July. This group consists of ten practitioners and leaders of
nursing who will support the development of policy, and provide nursing
advice to the older people programme, national taskforce and chief nursing
officer.
- older people
nursing leads
Deborah Sturdy, nurse advisor for older people, is collating a nursing
data base of nurse leads for older people. Deborah can be contacted
at deborah.sturdy@doh.gsi.gov.uk
or at Wellington House, 133-155 Waterloo Road, London SEI 8UG.
6.
Patient and public involvement
The NHS Reform and Health Care Professions Bill received royal assent
on 25 June. The Act provides for a new national Commission for Patient
and Public Involvement in Health (CPPIH). The HQ will be in Birmingham
and recruitment for the chair has already begun. Its key functions will
be:
- to set standards
for, monitor and performance manage patients' forums and providers of
independent complaints advocacy services (ICAS). This will further guarantee
independence from the NHS for forums and ICAS providers.
- to keep an overview
of the whole patient and public involvement system, make recommendations
to the Secretary of State and advise him about it.
- to carry out national
reviews of services from the patients' perspective - collating data
from forums and making recommendations to the Secretary of State, and
to other bodies and people.
One of the new Commission's first jobs will be to appoint staff to forums
in PCTs. Staff in forums in PCTs will support all forums in the PCT
area, help them work together across local boundaries and promote the
involvement of the public in all decisions that affect their health.
Forums in every NHS
trust and PCT will monitor and review local health services and make reports
and recommendations to local trusts. They will be able to inspect all
health services - whether they are provided within NHS facilities or provided
through contracts with the private sector. A member of each forum will
have a place on trust boards. They will be subject to the same appointments
criteria as any NED.
The timetable for
implementation is currently being finalised, but the provisional timetable
is as follows:
- the CPPIH will
be established in January next year and at around the same time OSCs
will take on their new responsibilities. The new duty on the NHS to
involve and consult the public will also come into effect.
- the CPPIH will
then appoint staff to each PCT area. These staff will begin appointing
the members of all forums in their area.
- once this has happened
PCT forums will begin their work and will also take up their responsibility
for the delivery of ICAS. CHCs will continue to exist to ensure a smooth
transition to the new system. The date of their abolition and the arrangements
for CHC staff are still being discussed with CHCs, the unions, other
key stakeholders and ministers.
- patient advice
and liaison services are currently being rolled out in all trusts in
England
Further details about
the arrangements will shortly be available at http://www.doh.gov.uk/involvingpatients/index.htm
7.
New appointments
- head of NHS
recruitment, Department of Health
Liz Eddy is part of this exciting effort to deliver on the three Rs
(recruitment, retention and returning). Her role is to lead the national
NHS recruitment team, working on campaigns in partnership with the workforce
development confederations. She is passionate about this issue, as it
is central to an effective NHS PLC. Without an appropriate workforce
we will not be able to deliver the care patients need. In the last few
years she has had two posts in the NHS executive in the south west as
assistant regional nurse and deputy HR lead.
Liz would like to hear from you with examples of good practice - contact
her at elizabeth.eddy@doh.gsi.gov.uk
- nurse advisor,
learning disabilities
As nurse consultant for learning disability at NottinghamshireHealthcare
NHS Trust since August 2000, Debra is based at the Rampton hospital,
the national centre for secure care for people with learning disabilities.
She is on secondment at the Department of Health. Health action plans
and health facilitation will be a major and exciting theme of her work
over the forthcoming months and she is keen to visit nursing network
groups to share views and ideas.
Contact Debra at debra.moore@doh.gsi.gov.uk
8.
Nursing honours list
The following nurses are congratulated on receiving the Queen's birthday
honours:
Knighthood: Professor Ron de Witt, chief executive, north west
London StHA,
CBE: Rebecca Howard, nursing director, Royal Liverpool Children's
NHS Trust; Alison Tierney, professor and head of the department of Nursing
Studies, University of Edinburgh.
OBE: Catherine Caldwell, director of midwifery and deputy director
of nursing, Royal Devon & Exter Healthcare NHS Trust; Paul Jenkins,
national project manager, NHS Direct; Jan Morrison, lead cancer support
nurse, Kingston Hospital NHS Trust;
Margaret Murray, consultant nurse in orthopaedics, South Tees Hospitals
NHS Trust;
Michael Powell, director of human resources and chief nursing adviser,
Grampian Health Board.
MBE: Gill Gomery, senior nurse, Gwent Health Authority; Elizabeth
Browse, ward sister, Guy's & St Thomas's Hospital Trust; Joan Macfarlane,
health visitor, Sheffield; Alexander Nelson, senior enrolled nurse, state
hospital, Carstairs; Richard Stanwell, nursing & midwifery council;
Betty Wood, clinical nurse specialist, Prince Charles Hospital, Merthyr
Tydfil; Sian Davies, National Project Manager Defibrillation Programme,
Department of Health Cardiac Services, Wellington House, London.
9.
Community Budgets
By now frontline staff in PCTs should have direct access to community
budgets that provide support for community based public health work. Examples
of the sort of activities this budget could be used for include hiring
community venues for health promotion groups, providing food for a cook
and eat group, play materials for children, creches, health promotion
materials.
Primary Care Organisations
were required to set up budgets, which could be accessed and managed directly
by teams of community practitioners by 30th November 2001.
Letter
to PCT Chief Executives - COMMUNITY BUDGETS FUNDING 2002/2003 AND ONWARDS
Allocation
of funding for community budgets 2002 to 2003 in Excel format
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