Ruth Walker Executive Nurse Director

Does education have a role in the preparation of the workforce for

advanced practice?

An employers view

Cardiff and Vale University Health Board

• Services a population 500,000 people• Budget £874 m• Services include• Primary/community • Secondary • Tertiary• Mental health services

• 2 acute hospitals• Community hospitals/GP practices/health

centres

Cardiff and Vale University Health Board

• StaffingTotal-15,000• Nurses 5,188

• Reg-3,602• Unreg-1,586

• Nurse Practitioners 82• Clinical Nurse Specialists 199

What is the agenda for Nurses?

Profession• Nursing Midwifery Strategy• Modernising Nursing

Careers• Community Nursing strategy• Education/Training/

development• Free to Lead /Free to Care• School Nursing• Midwifery 2020• Career Framework

Corporate

• NHS Reorganisation • Financial Challenge• Performance

Management• Healthcare standards• Service Modernisation

Integrating (3)An example of integrated governance

Links between the Healthcare Standards, other National priorities and the 1000 Lives Campaign

Healthcare Standards for Wales, e.g.• Standard 5: Healthcare associated infection• Standard 19: Medicines Management• Standard 16: Learning from incidents• Standard 28: Accountability, leadership for quality

NPSA Alerts and notices:• Critical care• anti-coagulation• ‘Clean your Hands’• ‘Being Open’ policy

National Clinical Strategies:• Critical Care Strategy• HCAI’s in hospital and community settings

NICE Guidance:• Care of acutely ill patients in hospital• Infection control• Peri-operative hypothermia

1000 LivesCampaign

..the campaign as a vehicle for delivery..

Nursing in the 21st Century

• Has the role changed?

28.a. Employer organisations ensure that job descriptions for new level 7 Advanced Nurse Practitioner (ANP) posts reflect the description and role competencies of advanced practice.

28.b. ANP post holders hold an appropriate master’s level award and can demonstrate advanced levels of knowledge and skills commensurate with the role, and high levels of decision making, problem solving and critical thinking.

28.c. Service employers have in place transition arrangements to support current ANP post holders who do not possess an appropriate master’s degree. AP(E)L arrangements are considered.

Recognition of specialist and generalist practice up to advanced level. Education and training to prepare practitioners for roles – emphasis on knowledge and skills preparation that can be transferred. Clinical Nurse Specialists to have a degree in a relevant

subject and be able to demonstrate competencies in field.

Advanced level practitioners – accepted principles set out in Advanced Practice Toolkit. Academic level set at master’s level.

Pre-registration degree level preparation

5

6

7

8

9+

Level

WIDE ENTRY GATE

Consolidation of practice

Careers in: generalist/ specialist clinical posts, academic and teaching posts.

Continued education in 4 ‘pillars’:• Clinical/Professional Practice • Leadership and Management • Facilitated Learning & Development• Research

Registration

Careers in consultant, senior and strategic level roles, senior clinical academic and academic/research posts.

Continued education in 4 ‘pillars’ plus (where appropriate)• Strategic service development• Corporate skills/responsibilities

Overview of the career framework

Graduate and post graduate

level study

Post graduate to doctorate level study

Advanced Practice

Careers in advanced generalist/ specialist roles, ward manager posts, management, education and research posts.

Continued education in the 4 ‘pillars’

Career Advice

Does education have a role in the preparation of the workforce for advanced practice?

YES

The Challenge

and Rationale

Ultimate GoalUltimate Goal

Right Person doing the Right Thing to the Right Patient at the Right Time in the Right Place

The modern nurse is viewed by the public as a skilled and independent

professional