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| CNO Bulletin - March
2002 |
Welcome to the eighth edition of the monthly CNO bulletin.
Contents this month:
- Every Day Is Nurses Day
- Recruitment Campaign
- Mental health - National guidance acute inpatient care
- Reforming Emergency Care
- Diabetes National Service Framework
- Comprehensive Critical Care
- NMC call for Visitors (Auditors, Reviewers)
- Drug misuse services
- Expert patients programme
- Nurse Prescribing
- Health Promotion England database
- The Future Healthcare Workforce
- Renal Services
- Heart disease Patient Care Advisers
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Every Day Is Nurses Day
Nurses day is the annual national celebration of the nursing professions
held on Florence Nightingale's birthday on May 12. Every Day is Nurses
Day is part of this annual celebration when nurses visit primary schools
all over England during the weeks around this date.
In previous years nurses have supported a range of activities in
schools for school children including:
- presentations by nurses for school children
- children interviewing nurses about their roles
- matching different nursing roles to different situations
- classroom discussions on gender stereotypes and the image of nurses
Many children find theatrical activity an enjoyable way to learn.
To mark the event this year the Department of Health will be launching
new resources to involve primary school children in drama and acting
in a play about nursing, and also in writing poems about nurses.
These resources will be available from mid April from www.doh.gov.uk/cno.
They can be used to complement other activities for Nurses Day.
This year the Department of Health is collaborating with the Royal
College of Nursing on recruitment campaigns with a range of events
marking Nurses Day. Further information will be available from the
beginning of April from the Royal College of Nursing website www.rcn.org.uk
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Recruitment Campaign
National TV and press advertisements running from February 13 for
four to six weeks feature the role of the entire NHS team involved
in a patient's recovery, under the slogan of "Join the team and make
a difference".
The display press ads feature mental health, learning disability
nursing, midwifery and adult nursing.
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Mental health - National guidance acute inpatient care
National guidance on acute inpatient care (including substance misuse
and psychiatric intensive care units) and dual diagnosis (including
alcohol, licit and illicit drugs) will be launched by Health Minister
Jacqui Smith on April 30 in central London.
Leading clinicians in local services will be at the launch to share
their work and lead a debate into how the guidance can be implemented
in practice. The guidance will outline good practice and recommend
key actions for services to improve outcomes for service users and
their families.
Malcolm Rae, nursing officer for mental health at DH, has led the
acute inpatient care guidance supported by the acute inpatient taskforce,
a group of more than fifty people including nurses, psychiatrists,
other therapists and service users.
If anyone is interested in attending the launch, please contact Ingrid
Steele on Ingrid.Steele@doh.gsi.gov.uk.
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Reforming Emergency Care
The Government launched its proposals for Reforming Emergency Care
in October 2001. The vision is for fast access to an effective system
of emergency care, in which with appropriate clinical assessment,
patients can be directed to the services that will best meet their
clinical need.
The reforms encourage a whole systems approach, involving NHS Direct,
primary and social care, Ambulance Trusts, and secondary care in improving
access and reducing waiting times in line with the targets outlined
in the NHS plan. The streaming of services for patients with minor
injuries and conditions is central to the reforms. An additional £40
million was allocated to support the implementation of nurse-led minor
injuries and conditions services.
Guidance on the nursing contribution to reforming emergency care
has been developed to support the implementation and can be found
at www.doh.gov.uk/capacityplanning.
Further information may be obtained through Julie Pearce, Nursing
Officer for Acute & Specialist Services on julie.pearce@doh.gsi.gov.uk
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Diabetes National Service Framework
The National Service Framework for Diabetes: Standards were published
in December 2001, setting a direction for travel for diabetes prevention,
surveillance, early detection and management, with twelve new standards
and key interventions necessary to raise the standards of diabetes
care. The document and additional information can be found at www.doh.gov.uk/nsf/diabetes.htm.
The second stage of the National Service Framework for Diabetes:
Delivery Strategy will be published in summer 2002. A Diabetes NSF
Implementation group has been established to develop the delivery
strategy to enable local services to prioritise and implement challenging
but realistic plans for achieving significant improvements in diabetes
care. There are major implications for nursing in primary, secondary
and social care to work across organisational and professional boundaries
to produce the improvements for patients and their families.
The website includes a range of supporting materials about the NSF
and is being regularly updated with information and occasional papers
for comment from the Implementation Group, and includes its Terms
of Reference, membership and brief notes of meetings.
The diabetes NSF Implementation Group will welcome comments at diabetes.nsf@doh.gsi.gov.uk.
Further information may be obtained through Julie Pearce, Nursing
Officer for Acute & Specialist Services on julie.pearce@doh.gsi.gov.uk
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Comprehensive Critical Care
A report on the nursing contribution to Comprehensive Critical Care
was published in December and can be found at www.doh.gov.uk/capacityplanning.
The report outlines a strategic programme of action involving front-line
staff, clinical leaders of critical care services including outreach
services, executive leads involved with strategic planning of hospital-wide
critical care services, critical care network leads, workforce development
confederations, higher education providers, and the department of
health.
An implementation group will be established to facilitate the central
work-programme, and help to disseminate examples of good practice.
Further information may be obtained through Julie Pearce, Nursing
Officer for Acute & Specialist Services on julie.pearce@doh.gsi.gov.uk
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NMC call for Visitors (Auditors, Reviewers)
The new Nursing and Midwifery Council (NMC) will be responsible for
the quality assurance of educational programmes leading to registration
or recordable qualifications with Council.
The NMC has an agreed framework for educational quality assurance,
which focuses on greater collaboration with other quality assurance
organisations as well as emphasising the importance of reviewing clinical
practice in regard to education programmes.
In England Visitors (Auditors/Reviewers) will deliver the framework.
Visitors will undertake certain elements of the educational quality
process, for example validation, monitoring, periodic review and re-validation
on behalf of Council.
The NMC wishes to engage Visitors, currently registered with the
UKCC - either experienced educationalists or experienced clinicians.
Potential Visitors need experience of quality assurance work (for
example external examiners, organisational/clinical audit.). Visitors
will be engaged through a service contract including training.
There will be a payment of up to £260 per day including preparation,
with additional travel and accommodation expenses. Each Visitor will
agree a specific time commitment with the Council, for instance between
2 to 25 days. Visitors will not visit any institutions/health care
providers that they have any association with. For further information
please visit our website at www.ukcc.org.uk.
Applications should be by CV and include detailed information on
previous quality assurance experience, two current references and
a letter from your employers supporting the application. Please
send CVs to Suzanne Fookes, Quality Assurance Administrator, NMC,
23 Portland Place, London W1B 1PZ.
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Drug misuse services
On March 6 Sarah Mullally launched the Substance Use - Guidance on
Good Clinical practice for nurses, midwives and health visitors -
Working within Maternal Health. Published by the Association of Nurses
in Substance Abuse (www.ansa.uk.net),
it joins other titles in the series:
- Working with alcohol and drug users
- Working with children and young people
- Working within primary health care teams
- Working within Accident and Emergency
Figures on problem drug misusers presenting to services for treatment
in England were published in the Statistical bulletin Statistics
from the Regional Drug Misuse Databases, which covers the six
month period ending March 31 2001. Copies of the Bulletin are available
from: Department of Health, PO Box 777 London SE1 6XH or www.doh.gov.uk/public/stats1.htm.
A "census" was carried out in 2000/2001 to estimate the number of
drug misusers in treatment in England in 2000/01 - for more information
go to http://www.doh.gov.uk/public/sb0133.htm
The Audit Commission report "Changing Habits" - Commissioning and
Management of Community Drug Treatment Services for Adults is available
at www.audit-commission.gov.uk/publications/brchanginghabits.shtml
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Expert patients programme
"The Expert Patient - A new approach to chronic disease management
for the 21st Century" was launched on September 14 2001. Now the first
wave of training courses in self-management under the Department of
Health's Expert Patients programme will be developed and piloted in
25 Primary Care Groups and Trusts in England from March 2002.
The document is available from the Department of Health, PO Box 777,
London SE1 6XH. It is also downloadable from the 'People and Communities'
section of the Our Healthier Nation website at http://www.ohn.gov.uk.
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Nurse Prescribing
The number and type of medicines nurses can prescribe for patients
- including for the first time nine oral antibiotics - has been extended.
Once nurses have completed a comprehensive training programme, they
will be able to treat a wider range of medical problems, including
minor ailments and injuries.
Current nurse prescribers will continue to be able to prescribe from
the existing formulary and many may wish to undertake further training.
Further information on nurse prescribing, including the full list
of Prescription Only Medicines are prescribable by nurses and training
programmes can be found on the Department of Health website at www.doh.gov.uk/nurseprescribing
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Health Promotion England database
Information on recent health promotion campaigns, for example MMR,
is distributed via the Health Promotion England database. Visit www.hpe.org.uk
and click on 'register' in the resources section to enter details.
Alternatively, send a letter with the full details as they are requested
on the form to Database Entry, Health Promotion England, 40 Eastbourne
Terrace, London, W23QR. Or telephone our general enquiry line on 020
7298 5656 and request a database registration form to be sent out
- alternatively details can be taken over the phone.
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The Future Healthcare Workforce
The BMA has published "a new, ground-breaking model of how doctors
and nurses in the NHS might provide better care for patients". In
the discussion document, the association says that nurses' skills
would be used to their full potential by co-ordinating the care around
a patient, while doctors would concentrate on the areas where their
skills can be best used. Doctors would no longer be seen as the sole
'gatekeepers' to the care that NHS provides.
For a copy of the discussion paper produced by the BMA's Health Policy
and Economic Research Unit paper and details of how to comment and
give feedback go to www.bma.org.uk.
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Renal Services
The External Reference Group, chaired by Professor Robert Wilkinson
(Nephrologist from the Freeman Hospital in Newcastle) and Sarah Mullally
(Chief Nursing Officer), has been established to provide advice to
Ministers for the development of the National Service Framework for
Renal Services. It is likely that the national framework will be developed
and published in four modules over the next three years.
The four modules currently being planned are:
- Dialysis
- Transplantation
- primary prevention, pre-dialysis, acute renal failure
- palliative care
The ERG and DH renal team are keen for contributions to be made by
patients, carers, and the wider health and social care communities.
An interactive website has been established at www.doh.gov.uk/nsf.renal.htm.
It would be helpful if you could disseminate the website address widely
and encourage local participation. If you would like further information,
please contact Julie Pearce, Nursing Officer for acute and specialist
services at julie.pearce@doh.gsi.gov.uk
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Heart disease Patient Care Advisers
Patient Care Advisers (PCAs) will work within the local network of
heart services, but they will be accountable at local level to Patient
Advice and Liaison Service and at a national level to Patient Choice
Trustees.
PCAs will be people with clinical backgrounds - usually a nurse.
They will be patients' champions, ensuring effective management of
the patient's and carer's journey throughout the time they are waiting
for surgery and the postoperative month.
As part of the Extending Choice for Patients initative, from July
this year all patients who have waited six months or more for heart
bypass operations, heart valve operations and angioplasty will be
invited to discuss their options with a Patient Care Adviser. The
options might include treatment:
- at another NHS or private hospital convenient for the patient,
which could mean a shorter wait
- at a hospital overseas, which should mean a shorter wait
- with their current hospital on the basis that they will wait no
longer than nine months in total there.
The patient care adviser will remain a source of advice, maintaining
contact with patients who choose not to take up the choice package.
All patients who need to be seen more urgently will continue to be
seen in a matter of days, weeks or months, depending on how clinically
urgent their operation is.
Extending Choice for Patients, Information and Advice on Establishing
the Heart Surgery Scheme was published on March 6 2002. It is
being sent to stakeholders for comment. Responses are invited by Friday
22 March 2002. The document is available at www.doh.gov.uk/extendingheartchoice/index.htm.
Contact
To help us make these bulletins as helpful to you as possible, please
tell us what you think of the bulletins and how they might be improved,
for example:
- Does the bulletin provide useful information? If not, what sort of
material would you find helpful?
- Is it easy to use?
- Are there any other improvements you'd like to see?
- Is it the right frequency?
Please send your feedback to dh-test-emails@doh.gsi.gov.uk
We also look forward to receiving contributions for future editions -
please contact Beverley.Akwara@doh.gsi.gov.uk
Click here to access CNO bulletin on the Internet: http://www.doh.gov.uk/cno/bulletinindex.htm
If there are any changes in your email details, let us know at email-addresses@doh.gsi.gov.uk
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