Appendix 10 Kathy Fodey Nursing Officer Education, Regulation, Workforce DHSSPS.

Appendix 10

Kathy Fodey

Nursing Officer

Education, Regulation, Workforce

DHSSPS

Four Key Priorities

A. Develop a competent and flexible workforce

B. Update career pathways and career choices

C. Prepare nurses to lead in a changed system

D. Modernise the image of nursing and careers

Continuing Care and Support

Elective, Urgent and Critical Care

Core skills

Specialist / Advanced Practice

Registered Nurse / Registered Midwife

Pre-registration nursing and midwifery education

Senior Nursing Assistant

Nursing Assistant

Learning and development framework for nursing and midwifery

Health and Wellbeing

Health and Wellbeing

Elements; public health

mental health promotion, community

development, health education, health protection,

health screening and so on.

Current workforce context; likely to include some aspects of practice nurse

roles, maternal and child care, health visiting and occupational nursing services and include

community development initiatives such as Sure Start

Future workforce characteristics, competencies and attributes;

community development activity, tackling inequalities, delivery of ‘wellness’ care,

screening and health education knowledge of population demographics and epidemiology

Elective, Urgent and Critical Care

Elements would be currently

recognised as elective

surgery, critical interventions,

crisis intervention, rapid response

and emergency

care.

Current workforce context; Likely to include accident and emergency nursing, some aspects of treatment room

nurses, day procedure, acute care at home teams (ACAHT), general medical wards, mental health intensive and high

dependency care, critical maternity intervention

Future workforce characteristics, competencies and attributes;technological know how, safety and quality

practices, early recognition capacity and critical intervention skills.

Continuing Care and Support elements would

be currently recognised as

the care of children with

complex needs, end of life care,

severe and enduring

mental illness, chronic disease

management, dementia

services and challenging

behaviours .

Current workforce context; Likely to include palliative care nurses,

respiratory nurse specialists, community psychiatric nurses, cognitive behavioural

therapists, stroke nursing services and district nursing services

Future workforce characteristics, competencies and attributes;

self-care promotion, technological application, co-ordination of care, information management,

end of life care and so on

Changing face of service delivery

• Patient expectations are changing• Nurses are already shifting the context of care• TYC driving the pace of service reform• Recognise workforce capability • Change equation D + V + F > R

– D = Dissatisfaction– V = Vision– F = First step– R = Resistance

Expert Practice

Specialist Practice

Generalist Practice

Novice Practice

Skills Mapping: Exercise 1

• Three Groups

• Green – Health and Wellbeing

• Red – Elective, Urgent and Critical Care

• Blue – Continuing Care and Support

• 8 minutes each zone then rotate

Skills Mapping: Exercise 2