Post registration Specialist Community Public Health Nursing - - PowerPoint PPT Presentation

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Post registration Specialist Community Public Health Nursing standards review Health visiting

Webinar July 2020

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TO CONSIDER HEALTH VISITING IN OUR SCPHN STANDARDS REVIEW WELCOME AND AIM

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Housekeeping

• Everyone, except the presenters, are automatically

muted

• The “raise your hand” feature will not be used today
• Use the “?” feature or speech bubble to submit any

questions or comments at any time

• Audio-only participants can email questions and

comments to PRSCOI@nmc-uk.org

• We can’t address individual points during the webinar

but everything is being noted for consideration

• Key emerging themes will be shared in the second part
• f the webinar
• The session will be recorded

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Education programme Communications and engagement

Future Nurse standards/ Proficiencies Future midwife standards/ proficiencies

Quality assurance framework

Standards for Prescribing Nursing associates standards/ proficiencies

Standards framework for nursing and midwifery education

Return to practice Post-registration under review (SCPHN/SPQ)

Standards for student supervision and assessment

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Proficiency standards

• Pre-registration: Nursing, Midwifery, Nursing Associate
• What nurses/midwives/nursing associates need to know

and be able to do to join the register

• Post registration: Additional qualifications in a particular area
• f practice, which specify a higher level of knowledge and skill

required This includes:

• A range of “Specialist practice qualifications” (SPQs)
• Specialist Community Public Health Nursing (SCPHN)

qualifications (Health Visiting, Occupational Health, and School Nursing)

• Also: Prescribing (*new standards already published but

will be embedded in new post registration standards)

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SCPHN REVIEW – PROGRESS SO FAR

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SCPHN project aim

• To develop new standards of proficiency for

Specialist Community Public Health Nursing (SCPHN) in the following fields of SCPHN practice

• Health visiting
• School Nursing
• Occupational Health Nursing
• To develop associated programme standards

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Design principles for new standards – to be applied to standards for health visiting

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1. Enhanced outcome based requirements 2. Future proof and agile 3. Evidence based regulatory intervention 4. Right touch regulation – proportionate 5. Broad learning environments 6. Measurable and assessable 7. Consistent, clear - NMC style and language 8. Co-produced and consulted 9. Equality and diversity embedded

• 10. Enables innovation with our partners
• 11. Surpass existing NMC pre-registration education standards
• 12. Be appropriate across the four countries of the UK

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Sources of evidence

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Context Data Evidence Comparison

NMC Commissioned independent

evaluation

Mapping to

• ther relevant

standards Drawing out common themes

UK context: relevant strategies and policies Academic literature review: UK & International Literature review Exploring the need for Regulation Regulatory data and intelligence

Covid-19 impact

considerations

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SCPHN core

• Established a SCPHN core group

Early discussions:

• Emerging themes across all fields of

SCPHN practice

• Draft vision for core SCPHN
• Consideration will feed into drafting of new

standards that are core to HV, SN and OHN

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Vision for SCPHN standards

Nurses (and midwives) who are:

• autonomous practitioners in public health
• capable of adopting a life course approach to their

professional practice that is considerate and inclusive

• driven by evidence and research
• champions for health and well-being, and health

improvement; knows how to and can effect change that reduces health inequalities

• excellent communicators and educators
• leaders and collaborators in creating/implementing

strategy and policy that ensures interventions positively affect the health of people, families, communities and populations

• advisors in safety and quality practice delivery

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Themes from the SCPHN webinar

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A VISION FOR THE HEALTH VISITOR

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Some evidence considered for HV standards: one

4 country strategy and policy

• England
• Healthy child programme: Pregnancy and the first 5 years
• f life (DH, 2009)
• Health visitor implementation plan 2011-2015 (DH, 2011)
• Maximising the school aged children nursing team

contribution to the public health of school-aged children 5-19 (DH/PHE, 2014)

• National Health Visiting Service Specification 2014/15

(NHS England, 2014)

• Health visiting: Giving children the best start in life

(LGA, 2019)

• Health Equity in England: The Marmot Review 10 Years

On (Institute of Health Equity, 2020)

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Some evidence considered for HV standards: two

4 country strategy and policy

• Scotland, Wales and Northern Ireland
• Universal Health Visiting Pathway in Scotland: pre-birth

to pre-school (Scottish Government, 2015)

• National Health and Social Care Workforce Plan:

Part 3 – Improving workforce planning for primary care in Scotland (Scottish Government, 2018)

• A Vision for Health Visiting in Wales (Wales CNO’s office,

2012)

• Healthy Futures 2010 - 2015: The Contribution of

Health Visitors and School Nurses in Northern Ireland (DHSSPS, 2010)

• Delivering Care Phase 4 Health Visiting: Policy

Framework for Nursing and Midwifery Workforce Planning in Northern Ireland (DHSSPS, 2017)

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Some evidence considered for HV standards: three

• Career development framework for Health Visitors (IHV, 2015)
• Position Statement: Health Visiting and the NHS in next

10 years (IHV, 2018)

• Recommended National Curriculum: specialist community

public health nursing - health visiting/school nursing (0-19) child public health nursing services (IHV, 2019)

• Health Visiting in England: A vision for the future (IHV, 2019)
• Improving outcomes for children and families in the early

years: A key role for health visiting services (IHV/LGA)

• Safeguarding children: A review of arrangements in the NHS

for safeguarding children (CQC, 2009)

• The RCN’s position on health visiting in the early years

(RCN, 2011)

• The Best Start: The Future of Children's Health: Valuing school

nurses and health visitors in England (RCN, 2017)

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Themes from health visiting research

engage evidence review

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Draft vision for health visiting standards

Health visitors:

Health Visitors are in the front line of public health, uniquely placed to reach every child in their own home, connected to their whole family and community. They:

• Build trusting relationships with individuals and families,

understanding their needs and strengths to empower them to positively affect their health outcomes

• Lead services that are policy driven, with creativity and

resourcefulness and measure the impact of their interventions to demonstrate their worth

• Work within a collaborative system that ensures support for

children and families is personalised, effective, timely and proportionate

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Draft vision for health visiting standards

Health visitors – continued:

They:

• Use their professional autonomy to adapt and tailor their

response to the health and wellbeing needs of individuals, families and communities within diverse and changing contexts

• Embrace new technologies and expand their evidence-based

knowledge and skills to lead change and continuously improve the quality of the service

• Advocate for fairness, equity and social justice which is

reflected in their accessibility and commitment to prevention, early intervention, reducing health inequalities and the promotion and creation of health.

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Emerging themes for health visiting standards

• Child and family-centred care
• Collaborative, multi-agency working
• Relationship-building and negotiation skills
• Resourcefulness
• Accessibility and flexibility of approach
• Early intervention
• Emotional development
• Disease reduction
• Improved health outcomes
• Promoting behaviour change and healthier

lifestyles

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Questions for you to consider What do children, families, communities and populations need from health visitors now and towards 2030? Your views on:

• The shared vision for health visiting

and emerging themes – any surprises?

• Anything missing?

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Quick Poll…

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What country are you based in?

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Next steps

Lots more engagement to discover what is important for the development of these new health visitor standards This includes:

• HV round table discussions
• HV specific discussions
• Public, service user and advocacy group

engagement

• Wider multi professional group

engagement

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Quick Poll…

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Do you feel better informed of our plans to update the bespoke SCPHN health visiting standards and able to send us feedback?

(link to feedback will come in a follow-up email to today’s webinar)

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Thank you

For enquiries contact us at PRSCOI@nmc-uk.org