Transcript PRACTICE NURSE DEVELOPMENT

PRACTICE NURSE
DEVELOPMENT
SANDY TINSON
Programme Director For General
Practice Nursing (Oxford Deanery)
The Current Situation
• A significant shift in activity from secondary to
primary care
• GPNs have become key members of the primary
care team, taking on many roles formerly
undertaken by Drs.
• 50% of practice nurses are over 45 years and a
significant % will be retiring in 10 years
• There is no mandatory training for practice
nurses
• Nursing will become an all graduate profession
from 2013
contd
• Many of the skills of practice nursing are not part
of general nurse training or experience
• There are problems in recruitment – a catch 22
exists -- no skills, no job- no job, no training.
• Access and quality of training is variable and is at
an additional cost to the practice
• There is no accurate record of the number of
GPNs (and HCAs) employed in General Practice
The GPN Foundation Pilot Programme
2008-10
• 34 nurses completed the 1 year foundation programme in
line with band 5 competencies
• Placed in training practices in Oxford and Wessex Deaneries
• 1 year assessed, accredited programme at Level 6
(graduate)
• Work based assessment
• Course provided by Plymouth University (Year 1) and Bucks
New Uni (Yr 2)
Evaluation
• Provided nurses with necessary skills to function
as GPNs
• Nurses had confidence and competence
• Challenges in funding and support structures
• Variations in employment
• Benefits in training nurses as mentors
• A need for a standardised, accessible and
structured education framework for GP non
medical workforce
• All were employed but there were challenges
Challenges
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Terms and Conditions
Hours of work available
Supervision – assessment of competencies
Role of ‘clinic room nurse’ – growth of HCA
Unfamiliarity of General Practice
Not seen as a career pathway
What’s happening now?
SHA has funded for 1 year:
• A CPD programme for GPNs
• Health Care Assistant Training
• Introduction to GPN Pack for newly appointed
nurses
• A Foundation Programme
• Specialist and Advanced practice awards
• My post
What do we need to do?
• Improve communication
• Identify what the GPN nursing workforce looks
like – how many? Age? Level?
• Ensure all practices have information for
accessing training
• Establish mentors in general practice
• Establish pre reg placements for nurses
How can I help?
• Provide advice and support for work force
planning and development
• Advice for professional accountability,
development, quality and standards
• Support new models of working
• Facilitate access to education opportunities
• Ensure funding can be secured for the future
My Contact details
Sandy Tinson
Programme Director for General Practice Nursing
(Oxford Deanery)
Southern House
Sparrow Grove
Otterbourne
Hants
SO21 2RU
07826 890 826
[email protected]