The CNO Review:Aims and policy issues

Neil Brimblecombe

Director of Mental Health Nursing

National Institute for Mental Health in England (NIMHE)

Neil Brimblecombe

Director of Mental Health Nursing

National Institute for Mental Health in England (NIMHE)

The CNO Review of Mental Health Nursing

– Aims to provide a new strategic framework for the profession in NHS funded care in England.

– Includes formal consultation to gather views about how MH nursing can best contribute to improving service users’ experience and to meet identified priorities.

– Emphasises identifying existing good practice– In the context of Shifting the Balance of Power

– Aims to provide a new strategic framework for the profession in NHS funded care in England.

– Includes formal consultation to gather views about how MH nursing can best contribute to improving service users’ experience and to meet identified priorities.

– Emphasises identifying existing good practice– In the context of Shifting the Balance of Power

• Formation of reference group– Service users– Professional organisations– NIMHE/DH leads

• Formation of advisory groups– Pre registration– Nurse prescribing– Recruitment and retention

• Meeting with charity policy leads• Commission Literature review• Formal consultation (90 days minimum)• Open meetings• Service user/carer meetings• All inform final Review document (by March 2005)

• Formation of reference group– Service users– Professional organisations– NIMHE/DH leads

• Formation of advisory groups– Pre registration– Nurse prescribing– Recruitment and retention

• Meeting with charity policy leads• Commission Literature review• Formal consultation (90 days minimum)• Open meetings• Service user/carer meetings• All inform final Review document (by March 2005)

Review process

Is mental health nursing needed?

• ‘an essential component in our plans to continue to improve mental health services’ - Louis Appleby, National Director of Mental Health,

• ‘Mental health nurses play a vital role in the NHS.’ – Chris Beasley, Chief Nursing Officer

• ‘an essential component in our plans to continue to improve mental health services’ - Louis Appleby, National Director of Mental Health,

• ‘Mental health nurses play a vital role in the NHS.’ – Chris Beasley, Chief Nursing Officer

Mental health nursing today

• 47000 in England (21% increase since 1997)• More in independent sector (? 5-10,000)• 30% in the community • 31% more student places • 140 nurse consultants• 300 supplementary prescribers• 350-400 Modern Matrons• 5000 + PSI trained?• Vacancy rates - 4.7%

• 47000 in England (21% increase since 1997)• More in independent sector (? 5-10,000)• 30% in the community • 31% more student places • 140 nurse consultants• 300 supplementary prescribers• 350-400 Modern Matrons• 5000 + PSI trained?• Vacancy rates - 4.7%

The context• NSF (MH, Children’s, Older People’s) and PIGs• NHS Plan - user involvement, new roles for staff• CNO’s 10 Key Roles • Agenda for change• NMC Post reg and Fitness to Practice reviews • NICE Guidelines/evidence base• Environment/Healthcare acquired infections • New legislation• New roles for psychiatrists• Shifting the Balance of Power

Key current policy issues• NSFs – Older People and Children’s• Mental Health NSF – the next 5 years

– Carers– Delivering Race Equality– Inpatient care

• Physical care/health promotion • New roles

– nurse prescribing– new Mental Health Act?

• Choice• Social inclusion

• NSFs – Older People and Children’s• Mental Health NSF – the next 5 years

– Carers– Delivering Race Equality– Inpatient care

• Physical care/health promotion • New roles

– nurse prescribing– new Mental Health Act?

• Choice• Social inclusion

• Purpose of the document • Process and Timing• Numbers and distribution• Key issues for mental health nursing• Core values and roles• Defining key values and models in mental health nursing• Defining key roles of mental health nursing • Providing holistic care• Forming and sustaining relationships with service users • Increasing Choice • Improving physical healthcare and health promotion• Improving access to psychological therapies• Helping overcome social exclusion• Meeting spiritual needs• Utilising evidence in practice

• Purpose of the document • Process and Timing• Numbers and distribution• Key issues for mental health nursing• Core values and roles• Defining key values and models in mental health nursing• Defining key roles of mental health nursing • Providing holistic care• Forming and sustaining relationships with service users • Increasing Choice • Improving physical healthcare and health promotion• Improving access to psychological therapies• Helping overcome social exclusion• Meeting spiritual needs• Utilising evidence in practice

The Consultation (more or less)

• Safeguarding children• Supporting carers • Improving services through new roles• Ensuring Equality• - Gender needs • - Delivering race equality• Specialist areas of practice• Developing inpatient nursing • - How to ‘Let nurses nurse’ • - Developing support worker roles • - Developing care at night Improving observations • Prison healthcare

• Safeguarding children• Supporting carers • Improving services through new roles• Ensuring Equality• - Gender needs • - Delivering race equality• Specialist areas of practice• Developing inpatient nursing • - How to ‘Let nurses nurse’ • - Developing support worker roles • - Developing care at night Improving observations • Prison healthcare

The Consultation

• Developing nurses to meet the needs of service users• - Pre registration nurse training• - Developing support workers• - Continuing Professional Development and post registration

• education • Working in teams• Recruitment and retention • Leadership

• Developing nurses to meet the needs of service users• - Pre registration nurse training• - Developing support workers• - Continuing Professional Development and post registration

• education • Working in teams• Recruitment and retention • Leadership

The Consultation

How to make contact?

neil.brimblecombe@dh.gsi.gov.uk

Tel: 020 7972 4327

Room 317 Wellington House133-155 Waterloo Road

London SE1 8UG

neil.brimblecombe@dh.gsi.gov.uk

Tel: 020 7972 4327

Room 317 Wellington House133-155 Waterloo Road

London SE1 8UG