EDITORIAL EDITORIAL Consultant Consultant Editor EditorAlison AlisonWhile While Professor of Community Nursing, King’s College London
Editor Rowan Dennison Editor Oisin Sands [email protected] [email protected] Sub-editor Peter Bradley Farhad Buffery Commercial Manager Commercial Manager Andrew Wright [email protected] [email protected] Group Classified Manager Rachel McElhinney Group Classified Manager Rachel McElhinney [email protected] [email protected] Circulation Director Sally Boettcher Circulation Director Sally Boettcher [email protected] [email protected] Production Manager Jon Redmayne Production Manager Jon Redmayne Production Assistant Larry Oakes Production Assistant Larry Oakes Editorial Peter Constantine PublishingMake-up DirectorExecutive Anthony Kerr Publisher Anthony Kerr [email protected] Associate PublisherTracy TracyCowan Cowan Associate Publisher Publishing Director Adrian Johnston Chief Executive Officer Ben Allen
Chief Executive Officer Ben Allen EDITORIAL BOARD EDITORIAL BOARD
Ben Bowers Mandy Bowler Queen’s Nurse, Professional Senior Nurse for Nursing, Planned Lead Community Care Sunderland Herts Community PCT NHS Trust David Briggs Mandy Bowler Senior Lecturer, University of Clinical Business Manager, Hertfordshire South Tyneside NHS Foundation Trust Ann Bryan Julie HeadBliss of Community and Head Department: Mental ChildofHealth, Chester Health, King’s College London University David Briggs Julie Clennel Senior Lecturer, Head of Professional University of Hertfordshire Development, Directorate of Ann Bryan Nursing, NHS Darlington Head of Community & Child Health Partnership Centre Health, Chester University Dr Maria Horne Julie Clennel HealthofVisiting Head Clinical Lecturer/ Governance/ Research Lead NurseFellow Manchester Care Closer to Home University County & Darlington Dr GillDurham Hubbard NHS Foundation Cancer ResearchTrust Fellow,
Stirling University
Subscription Rates UK Personal Annual Direct Debit £111 £108 Cheque or credit card £128 £124 UK Student Annual Direct Debit £75 £81 Cheque or Credit Card £90 £97 UK Institutions (Libraries) Annual £432 £453
Jane Griffiths Kay Kane Lecturer in Community Nurse Manager, District Nursing, Manchester University Nursing, Belfast HSC Trust Maria Horne Prof Catriona Kennedy Health Visiting Lecturer, School Director, Napier Manchester University University Gill Hubbard Cancer Research Fellow, Dr Karen Ousey Stirling University Divisional Head, University Kay Kane of Huddersfield Independent Consultant Vera Todorovic Catriona Kennedy and Manager, Dietetics School Director, Nutrition Service, Bassetlaw Napier University Hospital, Worksop Brian Nyatanga John Unsworth Senior Lecturer, Head of Nursing Division, University of Worcester Northumbria University Vera Todorovic Dr TriciaDietetics Wilsonand Manager, Senior Lecturer, Nutrition Service, Bassetlaw Hospital University of Hertfordshire Tricia Wilson Senior Lecturer, University of Hertfordshire+
Europe Personal £162 £128 Institutional (Libraries)£601 (Libraries)£453 Rest of the World Personal £181 £186 Institutional (Libraries)£453 (Libraries)£767
For further information please contact the subscriptions department on 0800 137201 or +44(0) 1722 716997 when calling from outside of the UK.
MA Healthcare Ltd is part of the Mark Allen Group
www.markallengroup.com The British Journal of Community Nursing is published by MA Healthcare Ltd, St Jude’s Church, Dulwich Road, London SE24 0PB Tel: +44 (0)20 7738 5454 Website: www.bjcn.co.uk
Revitalising district nursing
E
vidence demonstrates that what patients want from their health-care providers is: ‘A care provider who looks and behaves professionally; is caring, competent, knowledgeable and compassionate and provides holistic, timely, seamless care and information; a care partner who works with patients and relatives to plan care, gives constant feedback and reports and helps then to navigate the health and social care system; a champion who puts their interests first and protects them when they are vulnerable; a coordinator who is constant, accessible and accountable for communicating the plan and monitoring the delivery of care.’ (Department of Health (DH), 2008) District nurses have been doing just this for more than 150 years while responding to changing political influences and population needs. While recent official figures from the Health and Social Care Information Centre indicate a dramatic drop in district nurse numbers, NHS England claims this has been countered by rises in other community staff (Brimelow, 2013). This very statement should be cause for great concern, as the rise in the plethora of community staff is already leading to fragmentation of care, overlap, confusion for patients and their families, and lack of overall accountability for integrated care, with serious risk to vulnerable people at home. Such services must be led by those who have the appropriate knowledge, leadership and clinical skills. Qualified district nurses are specialist practitioners in community nursing and have just those skills. It is very encouraging that recent reports (DH, 2013; Royal College of Nursing (RCN), 2013; Queen’s Nursing Institute, 2013) value qualified district nurses’ roles as community nursing leaders and are united in their message that the very future of the NHS relies on moving care closer to home. The DH (2013) acknowledges the importance of the qualified district nurse leading and supporting care in the home, focusing on population and caseload management; support and care for people who are unwell or recovering at home; and support and care for independence. The RCN (2013) identifies three care domains for the delivery of future district nursing services: acute care at home, complex care at home, and endof-life care at home. However, this will only be possible by having an infrastructure that invests in district nursing with appropriate workforce planning, education and training as well as clinical and leadership support. With demographic pressures and changes to health and social care across the UK, it is imperative that the potential to develop district nursing services to address these challenges is realised. Workforce planners must give district nursing the investment required to deliver efficient and effective person-centred care in the community. As highlighted in the Queen’s Nursing Institute report (2013), without such significant investment now into ensuring sufficient numbers of district nurses, the NHS will be ill-equipped to respond to the needs of the people it serves.
© MA Healthcare Ltd, 2013. 2012. All rights reserved. No part of the British Journal of Community Nursing may be reproduced, stored in a retrieval system, or transmitted in any form or by any means electronic, mechanical, photocopying, recording, or otherwise without prior written permission of the Publishing Director. ISSN 1462-4753 Printed by Pensord Press Ltd, Blackwood, NP12 2YA Cover picture: iStock istockphoto.com
The paper used within this publication has been sourced from Chainof-Custody certified manufacturers, operating within international environmental standards, to ensure sustainable sourcing of the raw materials, sustainable production and to minimise our carbon footprint.
British Journal of Community Nursing Vol 18, No 7
Elaine Ryder Oxford Brookes University; UK Association District Nurse Educators Heather Bain Robert Gordon University; Chair UK Association District Nurse Educators
Brimelow A (2013) Drop in district nurse numbers ‘adds to NHS pressure’. http://www.bbc.co.uk/news/health22623872?print=true Department of Health (2008) Confidence in Caring: A Framework for Best Practice. DH, London Department of Health (2013) Care in Local Communities: A New Vision and Model for District Nursing. DH, London Drennan V, Goodman C, Leyshon S (2005) Supporting experienced hospital nurses to move into primary care. http://www. nurisngleadership.org.uk/publications/community.matron.pdf Royal College of Nursing (2013) District Nursing: Harnessing the Potential. The RCN’s UK Position on District Nursing. RCN, London Queen’s Nursing Institute (2013) Report on District Nurse Education in England,Wales and Northern Ireland 2012/13. QNI, London
317
Journal of Community Nursing. Downloaded from magonlinelibrary.com by 130.194.020.173 on November 26, 2015. For personal use only. No other uses without permission. . All rights re
Editor Rowan Dennison Editor Oisin Sands [email protected] [email protected] Sub-editor Peter Bradley Farhad Buffery Commercial Manager Commercial Manager Andrew Wright [email protected] [email protected] Group Classified Manager Rachel McElhinney Group Classified Manager Rachel McElhinney [email protected] [email protected] Circulation Director Sally Boettcher Circulation Director Sally Boettcher [email protected] [email protected] Production Manager Jon Redmayne Production Manager Jon Redmayne Production Assistant Larry Oakes Production Assistant Larry Oakes Editorial Peter Constantine PublishingMake-up DirectorExecutive Anthony Kerr Publisher Anthony Kerr [email protected] Associate PublisherTracy TracyCowan Cowan Associate Publisher Publishing Director Adrian Johnston Chief Executive Officer Ben Allen
Chief Executive Officer Ben Allen EDITORIAL BOARD EDITORIAL BOARD
Ben Bowers Mandy Bowler Queen’s Nurse, Professional Senior Nurse for Nursing, Planned Lead Community Care Sunderland Herts Community PCT NHS Trust David Briggs Mandy Bowler Senior Lecturer, University of Clinical Business Manager, Hertfordshire South Tyneside NHS Foundation Trust Ann Bryan Julie HeadBliss of Community and Head Department: Mental ChildofHealth, Chester Health, King’s College London University David Briggs Julie Clennel Senior Lecturer, Head of Professional University of Hertfordshire Development, Directorate of Ann Bryan Nursing, NHS Darlington Head of Community & Child Health Partnership Centre Health, Chester University Dr Maria Horne Julie Clennel HealthofVisiting Head Clinical Lecturer/ Governance/ Research Lead NurseFellow Manchester Care Closer to Home University County & Darlington Dr GillDurham Hubbard NHS Foundation Cancer ResearchTrust Fellow,
Stirling University
Subscription Rates UK Personal Annual Direct Debit £111 £108 Cheque or credit card £128 £124 UK Student Annual Direct Debit £75 £81 Cheque or Credit Card £90 £97 UK Institutions (Libraries) Annual £432 £453
Jane Griffiths Kay Kane Lecturer in Community Nurse Manager, District Nursing, Manchester University Nursing, Belfast HSC Trust Maria Horne Prof Catriona Kennedy Health Visiting Lecturer, School Director, Napier Manchester University University Gill Hubbard Cancer Research Fellow, Dr Karen Ousey Stirling University Divisional Head, University Kay Kane of Huddersfield Independent Consultant Vera Todorovic Catriona Kennedy and Manager, Dietetics School Director, Nutrition Service, Bassetlaw Napier University Hospital, Worksop Brian Nyatanga John Unsworth Senior Lecturer, Head of Nursing Division, University of Worcester Northumbria University Vera Todorovic Dr TriciaDietetics Wilsonand Manager, Senior Lecturer, Nutrition Service, Bassetlaw Hospital University of Hertfordshire Tricia Wilson Senior Lecturer, University of Hertfordshire+
Europe Personal £162 £128 Institutional (Libraries)£601 (Libraries)£453 Rest of the World Personal £181 £186 Institutional (Libraries)£453 (Libraries)£767
For further information please contact the subscriptions department on 0800 137201 or +44(0) 1722 716997 when calling from outside of the UK.
MA Healthcare Ltd is part of the Mark Allen Group
www.markallengroup.com The British Journal of Community Nursing is published by MA Healthcare Ltd, St Jude’s Church, Dulwich Road, London SE24 0PB Tel: +44 (0)20 7738 5454 Website: www.bjcn.co.uk
Revitalising district nursing
E
vidence demonstrates that what patients want from their health-care providers is: ‘A care provider who looks and behaves professionally; is caring, competent, knowledgeable and compassionate and provides holistic, timely, seamless care and information; a care partner who works with patients and relatives to plan care, gives constant feedback and reports and helps then to navigate the health and social care system; a champion who puts their interests first and protects them when they are vulnerable; a coordinator who is constant, accessible and accountable for communicating the plan and monitoring the delivery of care.’ (Department of Health (DH), 2008) District nurses have been doing just this for more than 150 years while responding to changing political influences and population needs. While recent official figures from the Health and Social Care Information Centre indicate a dramatic drop in district nurse numbers, NHS England claims this has been countered by rises in other community staff (Brimelow, 2013). This very statement should be cause for great concern, as the rise in the plethora of community staff is already leading to fragmentation of care, overlap, confusion for patients and their families, and lack of overall accountability for integrated care, with serious risk to vulnerable people at home. Such services must be led by those who have the appropriate knowledge, leadership and clinical skills. Qualified district nurses are specialist practitioners in community nursing and have just those skills. It is very encouraging that recent reports (DH, 2013; Royal College of Nursing (RCN), 2013; Queen’s Nursing Institute, 2013) value qualified district nurses’ roles as community nursing leaders and are united in their message that the very future of the NHS relies on moving care closer to home. The DH (2013) acknowledges the importance of the qualified district nurse leading and supporting care in the home, focusing on population and caseload management; support and care for people who are unwell or recovering at home; and support and care for independence. The RCN (2013) identifies three care domains for the delivery of future district nursing services: acute care at home, complex care at home, and endof-life care at home. However, this will only be possible by having an infrastructure that invests in district nursing with appropriate workforce planning, education and training as well as clinical and leadership support. With demographic pressures and changes to health and social care across the UK, it is imperative that the potential to develop district nursing services to address these challenges is realised. Workforce planners must give district nursing the investment required to deliver efficient and effective person-centred care in the community. As highlighted in the Queen’s Nursing Institute report (2013), without such significant investment now into ensuring sufficient numbers of district nurses, the NHS will be ill-equipped to respond to the needs of the people it serves.
© MA Healthcare Ltd, 2013. 2012. All rights reserved. No part of the British Journal of Community Nursing may be reproduced, stored in a retrieval system, or transmitted in any form or by any means electronic, mechanical, photocopying, recording, or otherwise without prior written permission of the Publishing Director. ISSN 1462-4753 Printed by Pensord Press Ltd, Blackwood, NP12 2YA Cover picture: iStock istockphoto.com
The paper used within this publication has been sourced from Chainof-Custody certified manufacturers, operating within international environmental standards, to ensure sustainable sourcing of the raw materials, sustainable production and to minimise our carbon footprint.
British Journal of Community Nursing Vol 18, No 7
Elaine Ryder Oxford Brookes University; UK Association District Nurse Educators Heather Bain Robert Gordon University; Chair UK Association District Nurse Educators
Brimelow A (2013) Drop in district nurse numbers ‘adds to NHS pressure’. http://www.bbc.co.uk/news/health22623872?print=true Department of Health (2008) Confidence in Caring: A Framework for Best Practice. DH, London Department of Health (2013) Care in Local Communities: A New Vision and Model for District Nursing. DH, London Drennan V, Goodman C, Leyshon S (2005) Supporting experienced hospital nurses to move into primary care. http://www. nurisngleadership.org.uk/publications/community.matron.pdf Royal College of Nursing (2013) District Nursing: Harnessing the Potential. The RCN’s UK Position on District Nursing. RCN, London Queen’s Nursing Institute (2013) Report on District Nurse Education in England,Wales and Northern Ireland 2012/13. QNI, London
317
Journal of Community Nursing. Downloaded from magonlinelibrary.com by 130.194.020.173 on November 26, 2015. For personal use only. No other uses without permission. . All rights re
