Nursing Associates Christine Futter Chief Operating Officer - - PowerPoint PPT Presentation

Norfolk Nursing Workforce Nursing Associates Christine Futter

Chief Operating Officer N&SCS

Wednesday 27th March 2019

Key National Facts and Figures – Registered Nurses

 Number of nurses working in social care has fallen by 8,000 since 2012/13. Last year alone the number dropped by 4,000  Additionally over 2,000 District Nurses who would support those living and to end of life in care homes have been lost  The turnover rate for registered nurses was 32.1% in 2016/17, up from 27.2% in 2012/13  9% nursing vacancy rate in social care

Data Source: NMDS Norfolk Nursing Workforce England Nursing Workforce 41% turnover rate 32% turnover rate 9% vacancy rate 12% vacancy rate 50% on full time contracts 55% on full time contracts 25% on zero hours contracts 16% on zero hours contracts 87% female, 13% male 86% female, 14% male 29% EEA (non British) 16% EEA (non British)

Why is it important for the nursing workforce in social care?

• Over 155,000 workers (more than the NHS)
• Over 2,500 providers – primarily residential care, home and

residential care with nursing

• Over 90% of providers in our sector are private and voluntary
• In some parts of the region self funders of care make up nearly

65% of the market

• An increased workforce (7% increase since 2012 – 2016)

Norfolk Nursing Home Workforce

0.90% 16.80% 21.30% 27.60% 26.60% 6.80% 0.70% 12.80% 28.80% 21.50% 27.80% 8.30% 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% 24 AND UNDER 25 TO 34 35 TO 44 45 TO 54 55 TO 64 65 AND OVER

Workforce Age Profile

Percentage of Norfolk Staff Percentage of National Staff

Nursing Workforce Profile

59.70% 15.50% 16.40% 7.00% 1.40% 54.30% 29.00% 15.20% 1.40% 0.00% 0.00% 20.00% 40.00% 60.00% 80.00% 100.00% BRITISH EEA (NON BRITISH) NON-EEA UNKNOWN NON-BRITISH (NATIONALITY NOT KNOWN)

Workforce Nationality Profile

Percentage of Norfolk Staff Percentage of National Staff

87% 13%

Workforce Gender Profile

Female Male

Our workforce challenge

The Local challenge  Nursing turnover in social care in Norfolk 32%  Vacancy rates 9% for nurses in social care  Nursing Homes becoming residential care establishment without nursing  Reliance on costly agency staff to fill gaps

What initiatives are there to address this?

 The Nursing Associate role is a new support role that will sit alongside existing healthcare support workers and fully-qualified registered nurses to deliver hands-

• n care.

 It is a two year Level 5 Apprenticeship, work-based learning programme  It is a role in itself and will be regulated by the National Midwifery Council (NMC).  Administration of medicines was identified by stakeholders as one of the top three functions of the new role to bridge the gap between a care assistant and a registered nurse. Given the patient safety element, it was also cited by the majority

• f stakeholders as a core reason for the role to be statutorily regulated.

Benefits of the Nursing Associate role?

 The new role provides an access route to nursing and a career ladder for the support workforce strengthening opportunities to create a “home grown” workforce.  Strengthens the support available to nursing staff, releasing registered nurses to focus on care planning and management, advancing their practice and utilising their high level skills  Creation of a defined curriculum framework - standardises the role and its parameters of practice, enabling employers and registered professionals to confidently utilise and deploy the role.

What’s happening in Norfolk?

Trainee Nursing Associate Launch - Anna Morgan, Vivienne Stimpson, Diane Gray, and (front), Fran Brett and Jo Bishop. Picture: Keiron Tovell

Norfolk and Waveney Partnership

• Working with the Trusts, GP practices and social care representatives across Norfolk and Waveney
• We have agreed 2 Higher Education Institute(HEI) providers – UEA with Norwich City College and

Open University

• We have over 140 Trainee Nursing Associates on programme across the region –social care

apprentices from 3 large organisations, Health Care Homes, East Anglia Care Homes and Kingsley Healthcare

• We have 3 cohorts running – September, November 2018 and February 2019 has just started –

with more planned. Norfolk and Suffolk Foundation Trust (NSFT) Queen Elizabeth Hospital Kings Lynn (QEH) NHS Trust James Paget University Hospital NHS Trust Norfolk and Norwich University Hospitals NHS FT East Coast Community Healthcare (ECCH) OneNorwich Norfolk and Suffolk Care Support (NSCS) Norfolk Community Health & Care NHS Trust

What does the partnership have to do?

Expressions

• f Interest

Bid creation and submission Levy Engagement Finance Uniforms Comms HEI procurement Recruitment Partnership creation

…to name a few!

Nurse Associates in social care

• Social care has been part of the process

– there will be some invaluable learning from this

• Adds value – allows provider services

to recruit and allows Registered Nurses to lead and the Nursing Associate can support their role

• We have the most apprentices from

social care in the country

Challenges of the Nursing Associate role?

• 1. Funding – it’s complicated – Levy/Non-levy and transfers
• 2. Capacity challenges and releasing staff for training is

recognised although within the Partnership we are working to support this

• 3. The information and communication is health focused
• 4. Social Care are relatively under-represented on the

programme and therefore there is less peer support

• 5. The role of the TNA is not yet understood within the existing

workforce by staff and senior managers

• 6. The key roles of Supervisor (regulated professional) and

Assessor(RN) require regulated roles within the organisation

Transferring the levy fund?

Transfer User Journey

Transferring the levy fund?

You Tube https://www.youtube.com/watch?v=uES4- dRxDYo

Statement of Knowledge Statement of Role, Knowledge and Skills for Registered Nurses in Adult Social Care?

Is being developed by Skills for Care in consultation with Registered Nurses and the people they support, plus other professionals who work in and with the adult social care sector. The purpose is to:

• Raise the profile and reputation of nursing in the adult social care sector
• Inform debate and decision making in areas including education and

training of the current and future registered nurse workforce

• Promote Initiatives in areas such as recruitment and retention; career

pathways and continuing professional development

Statement of Knowledge Statement of Role, Knowledge and Skills for Registered Nurses in Adult Social Care?

Alongside the Statement there will be a series of resources including case studies from RN working in different roles within social care. Norfolk has submitted 4 case studies from the following provisions:

• Suncourt Nursing Home
• Crown Rest Residential Home
• Independence Matters – Learning Disabilities
• Anna Morgan- Director of Nursing and Quality

Revalidation has been discussed and there may be resources produced to support this – as yet not confirmed

Th Thank you for lis listenin ing

Any Questions?