- 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.
- 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, how the public was represented in the review.
Answer
A patient and carers referencegroup met several times during the review process. A patients’ representative wasalso invited onto the review steering group. Members of the public were also giventhe opportunity to comment on earlier drafts of the review report and revisionswere made in light of their comments. Two conferences were held which allowed practitionersand invited members of the public to inform the draft model. A section of the ScottishExecutive website outlining the review also gave people the chance to submit commentselectronically.
- 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, what appraisal of existing community nursing practice has been undertaken.
Answer
Project officers began liaisingwith individual NHS boards in late 2005. From the start of 2006 two reference groups– practitioners and patients/carers – and a steering group examined the best wayforward for the future of nursing in the community. The work of these groups wascomplemented and informed by a wide range of workshops which took place across thecountry in the first half of 2006. Furthermore, two conferences were held allowinga wide range of practitioners the opportunity to inform the draft model. The draftreport of the review was circulated for comment from 6 June with responses invitedby 23 June 2006. All responses which missed this deadline were nonethelessconsidered.
A consideration of the policydrivers of care provision was undertaken by the review team as well as an examinationof international models of nursing in the community. A literature review was alsoconducted by Napier University.
- 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 it considers that the timescale for the review was sufficient and what the reasons are for the length of time (a) taken for and (b) given to implement the review.
Answer
The Review of Nursing in theCommunity commenced in December 2005 with the report of the Review published on14 November 2006. The timescale for the review was sufficient to enablethe following to be undertaken:
A scopingexercise of current community nursing services.
A literaturereview.
Workshopsin health boards areas for all community nurses and managers.
Examinationof different models of nursing in the community.
Developmentof a new model.
On-goingconsultation with services users and professional groups.
Developconclusions and recommendations.
Publisha report.
The recommendations from thereview will be piloted in four development sites over the next two years which willaddress the implications of the proposed model and highlight any further work tobe done. Any further implementation will take several 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, whether the Minister for Health and Community Care took into account the existing community specialist qualification framework when stating that the review “presents a refreshingly honest analysis of the strengths and weaknesses of current nursing services in the community”.
Answer
The review took cognisance of the community specialist qualification framework. NHS Education Scotland and Skillsfor Health will undertake a review of the competencies and capabilities of the newcommunity health nurse and the Nursing and Midwifery Council will determine whetheror not they meet the requirements for the existing specialist practitioner register.
- 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 practitioners will be supported in their current practice and in implementing the recommendations of the report.
Answer
The new model for community nursingwill be piloted in four NHS boards over the next two years. This will allow forfurther testing of the implications of the model and highlight further work thatneeds to be done. The development project, which will include higher education institutesand NHS Education for Scotland, will also look at educational needs of existing andnew staff.
