Modernising Learning Disabilities
Nursing - Leadership
Dr Ben Thomas
Director of Mental Health &
Learning Disability Nursing
Government, national policy
and learning disabilities
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Norman Lamb MP –MS (CS)
Local Government HWB
Adult Social care
Safeguarding
Mental health
Physical & learning
disabilities
• Third sector
• Prison Health Services
National nursing leadership
Jane Cummings
Chief Nursing Officer
NHS Commissioning Board
Viv Bennett
Director of Nursing and Government
Principal Advisor on Public Health
Nursing
Department of Health
NHS Outcomes
Leadership
Implementation &
delivery
Public health
Adult social care
Our Vision - developing the culture of compassionate care
Compassion
Care is
our
business
Our values and behaviours are at
the heart of the vision and all we do
Care
Delivering high
quality care is what
we do. People
receiving care expect
it to be right for them
consistently
throughout every
stage of their life.
Compassion Competence
Compassion is how
care is given, through
relationships based
on empathy,
kindness, respect
and dignity.
Competence means
we have the
knowledge and skills
to do the job and the
capability to deliver
the highest standards
of care based on
research and
evidence.
Our values and behaviours are at
the heart of the vision and all we do
Communication
Courage
Commitment
Good communication
involves better
listening and shared
decision making - ‘no
decision about me
without me’.
Courage enables us
to do the right thing
for the people we
care for, be bold
when we have good
ideas, and to speak
up when things are
wrong.
Commitment will
make our vision for
the person receiving
care, our professions
and our teams
happen. We commit
to take action to
achieve this.
Delivering the vision
• Maximising health and well-being outcomes
• Working with people to provide a positive
experience of care
• Delivering high quality care and measuring
impact
• Building and strengthening leadership
• Ensuring that we have the right staff with the
right skills in the right place
• Supporting positive staff experience
Jane Cummings, CNO
6 Cs of Nursing
NHS Change Model
Making sense of it all to bring
Competency
Communication
Leading
change
a shared purpose to the vision
National policy and nursing
developments
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Vision and values
Purpose and functions
Organisational design
Driving through change
Improving and measuring health outcomes
Maximising the contribution of nurses
NHS OUTCOMES FRAMEWORK
2012/13
Domain 1
Preventing
people from
dying
prematurely
Domain 2
Domain 3
Enhancing
quality of life
for people
with longterm
conditions
Helping
people
recover from
episodes of ill
health or
injury
Domain 4
Domain 5
Ensuring
that people
have a
positive
experience
of care
Care in a safe
environment
and protecting
them from
avoidable
harm
Nursing and Care Quality Forum
Best practice must be common
practice!
• People first
• Values and culture
• Skills, knowledge and time to
care
• Leadership
Sally Brearley
Learning Disability Nursing
• 1995 – 12,504 in NHS
• 2011 – 5,189 in NHS
• 54% reduction (1,000 per
year)
• Increasing vacancy factor
1,7% in 2009)
• 600 student commissions
per year
• 4/500 register with NMC
The 4 major factors:
Higher Education Issues
•Challenges with recruitment
•Filling commissions
•High attrition
•Financial incentives
•Placements
Workforce Issues
•Complex field of practice
•Plurality of providers and stakeholders
•Loss of experienced practitioners
•Aging profile of workforce
Compromised
Workforce
Field of practice Issues
•Level of/or uncertainty of career
opportunity
•Absence of leadership at all levels
•Increased prevalence and complexity of
need in people with learning disabilities
•Development and validation of new roles
Data/ Intelligence Issues
•No modelling for retirement
•Unreliable data sets
•Third sector absent from
strategic decision making
•Conflicting data sets
Learning Disabilities Nursing
• Strengthening capacity
• Strengthening capability
• Strengthening the quality
• Strengthening the
profession
Strengthening the Profession
• Promoting the profession
• Leadership & management
• Research & evidence
Strengthening the commitment The report of the UK Modernising Learning Disabilities Nursing Review
Ely Hospital 1969
Where we are now
• Changing patterns of service provision
• Services without nurses in a leadership
role
• Nurses managed by other disciplines
• Nursing issues not identified and
addressed
• No clear opportunities
• Lack of opportunities
Where do we want to be
• Strong leadership
• Drive forward the
profession
• Modernised workforce
• Develop clinical
leadership
• Clear career pathway
• Succession planning
Determinants of Health (In)equalities
as outcome measures
Determinant 1
Determinant 2
Determinant 3
Determinant 4
Determinant 5
Social factors
Genetic &
biological
conditions
Personal health
risks &
behaviours
Communication
difficulties
&
reduced health
literacy
Access to
healthcare
provision
e.g. poverty, poor
housing,
unemployment,
social isolation
e.g. self-harm,
poor diet, lack of
exercise
Learning disabilities nursing –
a brilliant career
Thank You
Contact details:
Dr Ben Thomas
ben.thomas@dh.gsi.gov.uk