- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 19 December 2006
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Current Status:
Answered by Andy Kerr on 23 January 2007
To ask the Scottish Executive, further to the publication of Visible, Accessible and Integrated Care - Report of the Review of Nursing in the Community in Scotland and as community health nurses will undertake some aspects of the current district nursing and health visiting roles, who will undertake (a) the remaining elements of these roles and (b) the role of (i) community learning disability nurses, (ii) community mental health nurses, (iii) community children’s nurses, (iv) occupational health nurses, (v) general practice nurses and (vi) school nurses.
Answer
We are not removing the servicesdistrict nurses and health visitors provide. We are changing how they are organisedand educated to help them to provide high quality services to meet the health needsof Scotland in the 21st Century. To mark this change, the new nurses will be calledcommunity health nurses (CHN), which we feel reflects their role more accurately.The CHN will absorb the current district nursing, public health (health visitingand school nursing) and family health nursing disciplines and will sit in a widermulti-disciplinary, multi agency context. The model is based on a team approachwhich should not be made up exclusively of nursing staff. For example, the teammay include social work skills and independent sector colleagues as appropriate.The skill mix of each CHN team will vary according to the needs of the local areain which it is based. CHN will refer to specialist services (including community learning disability nurses, community mentalhealth nurses, community children’s nurses, occupational health nurses and manyothers) where appropriate. The developmentsites will help to identify the interface between the services provided by the modeland those provided by others.
General practice nurses are not covered by the model, but will be importantpartners of those working within the new service model.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 19 December 2006
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Current Status:
Answered by Andy Kerr on 23 January 2007
To ask the Scottish Executive, further to the publication of Visible, Accessible and Integrated Care - Report of the Review of Nursing in the Community in Scotland, how one generic nurse can be skilled in all aspects of community nursing, given that clinical care always takes precedence over illness prevention and the promotion of health.
Answer
Health improvement is one ofScotland’s priorities and the Report of the Review of Nursing in the Communitydescribes in detail how community health nurses will contribute to health promotion,anticipatory care and protecting the public, including work with families and children.The proposed community health nurse will have a dual health improvement and diseasemanagement remit, delivered through an integrated team network, including socialwork and other specialist nurses.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 19 December 2006
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Current Status:
Answered by Andy Kerr on 23 January 2007
To ask the Scottish Executive, further to the publication of Visible, Accessible and Integrated Care - Report of the Review of Nursing in the Community in Scotland, whether there is evidence that the current community specialist practitioner qualification is not operating effectively and what evidence underpins the decision to discontinue the qualification.
Answer
It is not the Executive’s intentionto discontinue the community specialist practitioner qualification. The educational requirements of the new communityhealth nurse and of existing staff will be considered as part of the developmentprocess conducted over the next two years.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 19 December 2006
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Current Status:
Answered by Andy Kerr on 23 January 2007
To ask the Scottish Executive, further to the publication of Visible, Accessible and Integrated Care - Report of the Review of Nursing in the Community in Scotland, how the impact of changes to the delivery of community nursing on the existing workforce will be managed.
Answer
The Executive will commissiona workforce project which, amongst other things, will look to develop national workforce/workloadmeasurement tools.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 19 December 2006
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Current Status:
Answered by Andy Kerr on 23 January 2007
To ask the Scottish Executive, further to the publication of Visible, Accessible and Integrated Care - Report of the Review of Nursing in the Community in Scotland, how the Executive will ensure that community health nurses adequately prioritise child protection.
Answer
The new community healthnurse will have the necessary skills to adequately prioritise child protection.Local teams will continue to have access to expert skills to provide support andthe four development sites will explore how these services are arranged.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 19 December 2006
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Current Status:
Answered by Andy Kerr on 23 January 2007
To ask the Scottish Executive, further to the publication of Visible, Accessible and Integrated Care - Report of the Review of Nursing in the Community in Scotland, how the Executive will ensure that generalist community health nurses retain similar caseloads to district nurses and health visitors.
Answer
The size of each communityhealth nurse’s caseload is something which would be decided at NHS board level andwill initially be tested in the development sites over the next two years.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 19 December 2006
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Current Status:
Answered by Andy Kerr on 23 January 2007
To ask the Scottish Executive, further to the publication of Visible, Accessible and Integrated Care - Report of the Review of Nursing in the Community in Scotland and given that the review suggests that clients will become central to the delivery of community nursing, what evidence there is that this has not always been the case.
Answer
The Executive acknowledges thatcommunity nurses put the needs of patients/clients at the forefront of delivery.However, patients and carers told us that they wanted one single point of contactwith nursing services. They told us that they found having to deal with a numberof different nurses confusing and frustrating and these opinions were fundamentalto the development of the new service model.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 19 December 2006
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Current Status:
Answered by Andy Kerr on 23 January 2007
To ask the Scottish Executive, further to the publication of Visible, Accessible and Integrated Care - Report of the Review of Nursing in the Community in Scotland, whether community health nurses will be a hybrid of community nurses in the home and public health nurses; if so, to which community nursing specialists they will make referrals and, if referrals will be to the existing community specialist practitioners, what steps will be taken to ensure that such practitioners are fully prepared for referrals.
Answer
The district, public health (healthvisiting and school nursing) and family health nursing disciplines will be absorbedinto a new, single community health nursing discipline sitting in a wider team ofspecialist nurses. Development sites in four NHS boards will consider the referralprocess.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 19 December 2006
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Current Status:
Answered by Andy Kerr on 23 January 2007
To ask the Scottish Executive why it started a process of reviewing nursing in the community and committing public funds to it before the recommendations of Nursing for Health: A review of the contribution of nurses, midwives and health visitors to improving the public’s health in Scotland and Nursing For Health: Two Years On had been implemented.
Answer
We are not moving away from therecommendations in Nursing for Health –Two Years On, rather we are buildingon it. The two overriding messages in Nursing for Health are that all nursesshould base their practice on Public Health principles and specific programmes shouldtarget those most in need. This is in line with the role of the proposed communityhealth nurse.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 19 December 2006
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Current Status:
Answered by Andy Kerr on 23 January 2007
To ask the Scottish Executive, further to the publication of Visible, Accessible and Integrated Care - Report of the Review of Nursing in the Community in Scotland, whether the Nursing and Midwifery Council has been involved in the development of the new role of community nurse.
Answer
The Nursing and Midwifery Council(NMC) responded to the draft of the review report that was circulated in June 2006and have been kept updated as the review has progressed. Discussions with the NMCwill continue as work in the development sites progresses.
