Two years on –
Caring in
partnership:
older people and
nursing staff working
towards the future
Acknowledgements
Author
This second year review of the implementation of
the RCN Strategy for Nursing Older People is based
on material generated and collected during
2005/2006 by RCN members and associate fellows,
as well as members of the National Pensioners
Convention, Age Concern and Better Government for
Older People.
Two years on – Caring in partnership: Older people
and nursing staff working towards the future was
written by Eileen Waddington, on behalf of the RCN
Forum for Nurses Working with Older People and
the RCN Mental Health and Older People Forum.
We are grateful to the older people from Better
Government for Older People and the National
Pensioners Convention who have worked with us on
a range of projects during the year and who, along
with Age Concern members, contributed to this
progress review. Thanks also to Christine
MacKenzie who helped organise the February
review workshop, Pauline Ford who facilitates the
strategy work, as well as Beverley Willie and
Michelle Wong for their ongoing administrative
support.
The development of Caring in Partnership: older
people and nursing staff working towards the future,
and the subsequent annual progress reviews, have
been supported by an educational grant from Pfizer.
Published by the Royal College of Nursing, 20 Cavendish Square, London, W1G 0RN
© 2006 Royal College of Nursing. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted
in any form or by any means electronic, mechanical, photocopying, recording or otherwise, without prior permission of the Publishers or a
licence permitting restricted copying issued by the Copyright Licensing Agency, 90 Tottenham Court Road, London W1T 4LP. This publication
may not be lent, resold, hired out or otherwise disposed of by ways of trade in any form of binding or cover other than that in which it is
published, without the prior consent of the Publishers.
ROYAL COLLEGE OF N URSI NG
Two years on – caring in partnership:
older people and nursing staff working towards the future
Contents
1.
Introduction
2
2.
Implementing the strategy 2005/2006
4
3.
Challenges and opportunities for 2006/2007
7
4.
Actions for 2006/2007
9
References
10
Appendix 1: review workshop participants
11
Appendix 2: older people strategy objectives and
milestones to be achieved 2005/2006
12
Appendix 3: older people strategy objectives and
milestones to be achieved 2006/2007
19
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TWO YE A RS ON – C A R I NG I N PA RTN E RS H I P
1
Introduction
In May 2004 the Royal College of Nursing (RCN)
produced its first ever strategy to promote the
contribution nurses can make to meeting the needs of
older people and ensuring their health and wellbeing.
Caring in partnership: older people and nursing staff
working towards the future (Ford & Waddington, 2004),
was developed by the Forum for Nurses Working with
Older People and the RCN Mental Health and Older
People Forum, together with the RCN gerontological
nursing staff and other key internal stakeholders. The
strategy was developed in partnership with older people
and some of their representative organisations.
challenge is communicating what the strategy is trying
to achieve and how individual nurses can contribute.
This second annual review demonstrates how progress
continues to be made, although there is still more to be
achieved.
✦
the dissemination of the strategy through
workshops and conferences
This report details the progress made during 2005/2006
in implementing the strategy and identifies the actions
to be taken in 2006/2007.
✦
the development of more effective partnerships with
older people, so that they could be more involved in
helping to promote the strategy and the milestone
achievements
✦
the development and dissemination of practical
tools and material to support nurses, including
material on outcome indicators in continuing care,
rights, risks and the use of restraint and an updated
version of the RCN assessment tool
✦
promoting a positive image of nursing older people,
through increased specialist training opportunities.
The first review found that the foundations of a good
start had been put in place. The range of
implementation activities undertaken in the first year
included:
In developing the strategy, the RCN wanted to establish
its vision for nursing older people, develop a work plan
and ensure that the strategy document would inform
good nursing practice by equipping nurses to contribute
more effectively to the changing pattern of services
delivered to meet the needs of older people, in all care
settings.
Caring in partnership (2004), along with other key
policy documents, provided the broad themes that
underpinned the development of a training package
used with the Older Person’s team working with the
Parliamentary and Health Service Ombudsman,
England, Jonathan Webster, RCN Associate Fellow,
Gerontology.
The review concluded:
“In 2004/2005 we made a start in translating our aims
and objectives into action. Our work in 2005/2006 will
need to build on the foundations that have been laid
down to ensure that our review in 2007 identifies
further progress and achievements.”
(Waddington, 2005)
The strategy identified a set of core principles which
underpin good nursing practice with older people. From
these principles the RCN and its partners developed a
three-year action plan designed to raise awareness of
the nursing needs of older people and the need for
greater partnership working, particularly with older
people and their carers.
The RCN undertook to carry out an annual review of
progress achieved against the work identified in the
action plan. In 2005 the RCN, together with
representatives from Better Government for Older
People and the National Pensioners Convention,
undertook the first review of the implementation of the
strategy (Waddington, 2005). With over 350,000
members in the RCN, the ongoing implementation
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ROYAL COLLEGE OF N URSI NG
The five key strategy principles that should
underpin nursing practice
✦
Valuing older people by challenging
discrimination; recognising and responding
to diversity; preserving the dignity of older
people; listening and responding to their
views and facilitating older people and their
advocates to contribute to decision making.
✦
Maximising potential by working with people
to help them recognise their potential, regain
and maintain their confidence, family links
and social networks and manage risks
appropriately. Nurses will also need to
maximise their own potential through
accessing training and learning opportunities.
✦
Ensuring good quality physical, mental and
emotional care by meeting the needs of the
whole person; understanding and responding
to the special needs of people with dementia
and other long-term conditions.
✦
Enabling through information by sharing
information with older people and their
carers about their illness, treatment and care
options and ensuring access to advocacy
support where necessary.
✦
Working in partnership with older people to
ensure they are true partners in their own
care; developing multi-disciplinary
partnerships to enhance the assessment and
care options that can be made available.
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TWO YE A RS ON – C A R I NG I N PA RTN E RS H I P
2
Implementing the strategy in 2005/2006
identified significant progress but commented that:
This has been a particularly difficult year for health and
social care providers who have been placed under
increased pressure to balance budgets. As a result
dramatic fiscal management strategies have had an
impact on a range of service provision, while
recruitment freezes and redundancies increased
organisational turbulence and uncertainty inhibiting
the development of services and partnership working.
“...further action is required in three key areas,
without which sustainable improvement in the
experiences of older people of public services is
unlikely to be achieved.” (Commission for Social
Care Inspection et al., 2006)
The three areas identified for improvement are; tackling
age discrimination, ensuring all the National Standard
Frameworks are achieved, and strengthening
partnership working.
The Review of public administration in Northern
Ireland heralded a reduction in the number of health
boards and trusts, while in England Creating a patientled NHS signalled significant changes for health
commissioning and PCT provider services. Scotland
has its own challenges in developing more integrated
health and social care services. In Wales, where the
health of the population is poor compared to the rest
of the UK, there is an excessive reliance on provision of
care in institutional settings (Welsh Assembly, 2003);
the Welsh Assembly Government is committed to reshaping services to deliver better health and social
care outcomes.
In such a fast changing environment the RCN workshop
participants agreed it is even more important to be clear
about the unique contribution nurses can make to:
Nurses working in the independent sector have also
faced considerable challenges as continuing problems in
recruiting and maintaining a suitably skilled workforce
have placed staff under additional pressure. However,
some of the developments in intermediate and palliative
care, extra care housing and care villages have offered
nurses new opportunities to work in different ways to
support older people.
✦
promoting the physical and emotional health of
older people
✦
helping them to maintain their independence
✦
providing effective treatments
✦
facilitating rehabilitation
✦
responding to more complex care needs; and
✦
arranging effective continuing health and palliative
care.
Practitioner Network on Ageing
On 18 March 2006, the Practitioner Network
on Ageing (PNOA) was formally launched in
Cardiff. This network has made good use of
the RCN strategy to inform its work. It is a
new and unique UK network of like-minded
people who have begun the process of
developing a ‘one-stop-shop’ web-based
approach to information, networking and
good practice in the area of work with older
people.
In 2004, Professor Ian Philp reported positively on the
progress made in implementing the National service
framework for older people in England:
“Although older people will continue to need health
and social care services, improvements in disease
prevention, treatment and rehabilitation will
improve the health, independence and well-being of
older people and reduce the need for long termcare.” (Philp, 2004)
The celebratory launch brought together
older people and organisations to raise
awareness of the aims and objectives of the
network. See the website at www.pnoa.co.uk
In 2006, the report of the joint review team (the
Commission for Social Care Inspection, the Audit
Commission and the Healthcare Commission) also
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Patient story – Making a difference
What I need and want from nurses
A member of the Rochdale User/Carer Action
Forum for Older People shared her experience of
care in a hospital. Vera told her local hospital
that she felt that her experience had been much
improved by the act of receiving a simple
courtesy telephone call from the hospital,
following her discharge. Pennine Acute
Hospitals Trust followed up the idea and now a
patient post-discharge survey is undertaken by
staff on the phone within two days of discharge.
Mary participated in a joint Age Concern and
RCN education think tank looking at how
student nurses were prepared to work with an
ageing population. During the course of the
event she shared with participants a letter from
the relative of a man who had gone into
hospital. The letter was headed “What I need
and want most from nurses” and detailed some
of the things that would have made her father’s
stay in hospital more comfortable and her
involvement in his care easier:
During the survey, patients are asked:
✦ to have my father treated as an individual, as
✦ how was your arrival and reception?
a person with a life outside hospital
✦ what did you feel about the surroundings
✦ for people to make an effort to communicate
and cleanliness?
with me, which may not be easy as I have
had a stroke but I care about my father and
share his care
✦ what was the quality of the food?
✦ how was the attitude and helpfulness of
✦ reassurance; hospital is frightening, it’s
staff?
difficult to ask things
✦ what was your overall impression of the
✦ reliability; come to us when we need you,
ward you were on?
relieve pain and discomfort
✦ how satisfied were you with the discharge
✦ we know we are one of many who need your
arrangements?
time so we need to work together
✦ have you any other comments or concerns
now you are at home?
All responses are monitored and action taken
where necessary.
Work undertaken in support of implementing its
strategy during 2005/2006 helped the RCN to focus on a
number of these areas. In this report we highlight
practical examples of how RCN members and staff,
along with key external stakeholders, have used the
strategy to promote a greater awareness of the needs of
older people. The Practitioner Network on Ageing is one
example of this.
The workshop proved to be a valuable forum to review
the work undertaken and progress made. It also offered
a structured opportunity to discuss and agree the
priorities for 2006/2007 and secure commitment to
working on these together. The older people present
were very enthusiastic about the opportunities of
working in partnership with the RCN and indicated that
they would welcome more opportunities to extend the
partnership. Some shared with us their own experiences
of positive involvement with nursing staff and Vera gave
us a concrete example of older people becoming more
proactive in their contacts with health providers.
In February 2006 RCN forum members, RCN
gerontological staff and representatives from the
National Pensioners Convention and Better Government
for Older People met together to review progress on
implementing the strategy during the previous year and
also to agree the work programme and milestones for
the forthcoming year, 2006/2007. Appendix 1 contains a
full listing of all workshop attendees.
In 2005/2006 forum members worked hard to promote
the strategy and deliver the identified work programme.
In 2005 the RCN held two events which were planned
and run jointly with older people. The forum held its
annual conference which was planned and delivered in
partnership with older people, who co-chaired and copresented plenary sessions. Florence Lyons, one of the
older people on the planning team, said: “It was good
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TWO YE A RS ON – C A R I NG I N PA RTN E RS H I P
not to be seen as the problem, but to be seen as part of
the solution.” An event was also held jointly with Age
Concern to raise the profile of older people with
educationalists and student nurses.
Considerable work was also undertaken last year to
raise awareness about issues of elder abuse including a
presentation at RCN congress, a T-shirt and badge
campaign, the production of a fact sheet for nurses and
a number of presentations to student nurses.
A full description of the progress made in 2005/2006 is
included in Appendix 2. Each of the objectives
highlighted in the original strategy are shown together
with an outline of activities and work carried out in
2005/2006 to achieve the objective, and finally the
outcome achieved as a result of the work done.
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3
Challenges and opportunities
for 2006/2007
Health and social care policy across the four nations is
developing in broadly the same way, although the pace
and emphasis may vary. In continuing the
implementation of its strategy, the RCN will be doing so
in a policy environment which is increasingly focusing
on the needs of older people. At the same time, some of
the challenges being faced will potentially inhibit the
delivery of person-centred services for older people.
In England, the recent white paper Our health, our care,
our say (DH, 2006a) sets a demanding agenda, shifting
the emphasis to prevention and promoting wellbeing,
more care out of hospital and “fitting services around
people and not people round services” (DH, 2006a). The
introduction of individual budgets and self-assessment
will put individuals more in the driving seat and the
proposed joint complex care teams will allow people to
manage their care more proactively.
In Wales the themes of combating age discrimination,
promoting independence and developing more
integrated health and care provision are reflected in the
recently launched National service framework (NSF)
which identifies ten standards and targets designed to
bring all services up to a universally good standard
(Welsh Assembly, 2006). The Welsh Assembly
Government is also committed to the appointment of a
commissioner for older people, to promote their rights
and welfare.
Professor Ian Philp’s recent report A new ambition for
old age (DH, 2006b) sets ten programmes of care under
three themes; dignity in care, joined-up care and
healthy ageing. It seeks to keep up the momentum
generated by the NSF and sets new and demanding
targets.
The Social Exclusion Unit report A sure start to later life
(Social Exclusion Unit, 2006) takes a broader view of
addressing exclusion, poverty and isolation for older
people. The forthcoming pilots will offer interesting
opportunities for bringing together a wide range of
services designed to meet the needs of older people in
‘one-stop-shop’ community facilities.
In Scotland the emphasis continues to be on creating
joint services and an integrated workforce. Better
outcomes for older people stresses the need to develop:
“Joint and integrated services which assist older
people to lead more independent lives with more
control over their lives”. (Scottish Executive, 2005)
Combating ageism and valuing older people is a
common theme running through much of the policy
guidance. Many local initiatives are taking place. An
example of one of is outlined here.
This sits alongside Building a health service fit for the
future, which outlines a 20 year plan for the NHS that:
“...shifts emphasis from hospital based care to
preventative and anticipatory care rather than reactive
management...The NHS, a service predominantly
delivered in local communities not hospitals”. (Kerr,
2005)
How old do you feel?
Working with older people has such positive
outcomes. Following an initiative from the
Rochdale Older Peoples’ Champion group, a
video was produced involving younger and older
people to look at issues of ageism. The video,
narrated by Emmerdale actress Meg Johnson, is
being used to reach audiences across the age
ranges. A copy has made it as far a field as
Australia!
In Northern Ireland the review of public
administration will provide new co-terminosity
between local government and the health service,
providing new opportunities for promoting health and
wellbeing. However, the Appleby review of Northern
Ireland health and social care sets some challenging
targets for increasing efficiency and activity (Appleby,
2005) and the organisational turbulence which will
mirror what has taken place in England is likely to
absorb considerable time and energy, and may disrupt
existing partnerships.
More details can be found at
www.research.salford.ac.uk/scnmcr/SCNMCR/A
geismvid.htm
7
TWO YE A RS ON – C A R I NG I N PA RTN E RS H I P
The agenda for nurses in the next year will be a
demanding one. On the other hand there will be
potentially exciting opportunities to contribute to the
shift to more community-based models of care, an
increase in intermediate and rehabilitative care, and a
greater emphasis on promoting health and wellbeing.
The debate will also continue regarding the creation of
new community provider organisations for the delivery
of primary care.
It is, however rather disappointing that Professor Philp;
National Director for Older People at the Department of
Health, has seen the need to talk about: “...developing
identifiable or named practice-based leaders in nursing,
who will be accountable for ensuring older people are
treated with respect for their dignity”.(DH, 2006b)
Surely this is a core function for all nurses, regardless of
where they are based, and is one of the cornerstones of
Caring in partnership: older people and nursing staff
working towards the future.
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ROYAL COLLEGE OF N URSI NG
4
Actions for 2006/2007
Keeping up the momentum of implementing the
strategy and generally raising awareness of older
people’s issues within the RCN membership will be key
themes for 2006/2007. The forum members wished to
acknowledge the hard efforts of all their RCN colleagues
who are currently working hard to champion the needs
of older people, and the older people and their carers
who are also active partners in the process.
In 2004 the RCN set itself a demanding action plan to
implement its strategy, identifying 39 milestones it
hoped to achieve over the following three years. It is now
two thirds of the way through its action plan, and whilst
a lot has been achieved, other initiatives are still ongoing
and some have yet to commence.
The resource available to work on the plan is relatively
small and includes a limited number of advisory staff at
RCN headquarters and the forum members, who have
full time jobs in addition to their forum work. However
all are very committed to taking the work forward.
Following the review workshop in February, forum
members have now agreed a work programme for
2006/2007 and this is contained in Appendix 3.
At the review workshop in February, participants
stressed the need to see older people as people first and
patients second. Julie’s story demonstrates this
particularly well!
Getting to know the real person
Julie works in an intermediate care service and feels
passionately that people coming into the service
need to feel valued and to maintain their identity.
People coming into the service are asked to bring an
important photo with them and all are asked how
they wished to be addressed. One lady commented
to Julie when she called her by her name, Mary, it
was the first time she had heard it for a long time as
she was always someone’s mum, gran or wife!
Another gentleman came back to the service to
celebrate his 100th birthday. When Julie asked him if
there was anything she could help him with he said:
“No, but if you have any free time I will teach you to
play the saxophone. It’s very relaxing!”
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TWO YE A RS ON – C A R I NG I N PA RTN E RS H I P
References
Appleby, J (2005) Independent review of Northern
Ireland health and social care services, available from
www.dhsspsni.gov.uk
Commission for Social Care Inspection, Audit
Commission and Healthcare Commission (2006) Living
well in later life, London: CHAI
Department of Health (2006a) Our health, our care, our
say: a new direction for community services, London:
DH.
Department of Health (2006b) A new ambition for old
age: next steps in implementing the national framework
for older people, London: DH.
Ford, P and Waddington, E (2004) Caring in
partnership: older people and nursing staff working
towards the future. London: RCN.
Kerr (2005) Building a health service fit for the future,
Edinburgh: Scottish Executive.
Philp, I (2004) Better health in old age, London: DH.
Scottish Executive (2005) Better outcomes for older
people, Edinburgh: Scottish Executive.
Social Exclusion Unit (2006) A sure start to later life:
ending inequalities for older people, London: ODPM.
Waddington, E (2005) One year on – caring in
partnership: older people and nursing staff working
towards the future. RCN: London.
Welsh Assembly Government (2003) The review of
health and social care in Wales, Cardiff: WAG
Welsh Assembly Government (2006) National service
framework for older people, Cardiff: WAG.
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Appendix 1
Review workshop participants
Veronica James
Age Concern Horsham
Attendees
Pauline Ford
RCN Gerontological Nursing Advisor
Vera Hirst
Age Concern Rochdale Metro
Jan Draper
RCN Programme Director
Penny Thewlis
Interim National Development Manager,
Age Concern England
Christine Mackenzie
RCN Clinical Leadership Facilitator
Evelyn Nicholls
RCN Council Member, East Midlands
Mental Health and Older People Forum
Barry Aveyard
Tricia Harwood
RCN Council Support Co-ordinator
Gary Blatch
Alan Mawbey
RCN Council Member, South West
Heide Baldwin
Eileen Waddington
Consultant, Eileen Waddington Consulting
Rebecca Neno
Paddy Healey
Trevor Adams
Jonathan Webster
Consultant Nurse for OP, University College London
Hospitals, RCN Associate Fellow Gerontological Nursing
Nurses working with older people
Debbie Telford
Nicky Hayes
Consultant Nurse for OP, Kings College Hospital
(Dulwich), RCN Associate Fellow Gerontological
Nursing
Clare Ruff
Julie Bevan
Lorraine Morgan
Angela Sinclair
National Pensioners Convention
Tracey Paine
Tracey Williamson
Mary Parkinson
National Pensioners’ Convention
Valerie Thomas
Florence Lyons
Better Government for Older People
Apologies
Hazel Heath
Consultant/RCN Member
Dave Martin
Associate Director, Better Government for Older People
Maureen Parker
Older People’s Advisory Group
Elcena Jeffers
Better Government For Older People
Peter Dawson
Volunteer Field Worker and Panel Member, Age Concern
Oxfordshire
Audrey Brightwell
Chair designate of the IOPP, Age Concern Harrow
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TWO YE A RS ON – C A R I NG I N PA RTN E RS H I P
Appendix 2
Older people strategy objectives and
milestones achieved 2005/2006
Milestones
Target date
Success indicators
Outcomes
AIM: To ensure that older people are valued
OBJECTIVE A: RCN will actively root out age discrimination in its own organisation
A1 Review RCN human resources
strategy to ensure it is not age
discriminatory
2004
• Issues highlighted with HR and
equality officer of the RCN June
2005 – PF
• RCN undertaking work on pensions
review for members – VL
A2 Work with older people to examine
our publicity material for negative
stereotypes of older people
2005
• Meeting held with publications
team, BGOP and NPC
• June 05 actions agreed publication
being developed for NOP journal
– PF
Awareness raised
Pensions review secured
continuation of final salary pension
for nurses in the NHS
Feedback and views from older
people will be fed into all
publications for nursing older
people
OBJECTIVE B: RCN will work together with other key stakeholders to portray positive images of ageing
B1 Work with older people and others
to disseminate positive images of
ageing
2004
• As A2 – PF
• Positive images of older people and
ageing in content of BSc (Hons) in
Gerontological Nursing, and all
associated marketing – JD
Printed material associated with
BSc uses positive images of ageing
OBJECTIVE C: RCN will raise the profile of older person abuse to ensure members are alert to its detection and respond appropriately
C2 Build on the review to develop a
framework for good practice for
wider dissemination
2005
• Forums to consider for 2006
OBJECTIVE D: RCN will work with older people to develop its range of services for nurses working with older people
D1 Work in partnership with older
people to review the RCN nursing
older people strategy and
progress reports
2005/
2006
• BGOP and NPC attended review
meeting 2005 and will be invited to
2006 – PF and Forums
NPC and BGOP members actively
engaged in developing and
reviewing strategy
D3 Work with older people in the
development of RCN publications
2005
• Forums to involve older people
System established to involve older
people
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Milestones
Target date
Success indicators
Outcomes
AIM: To ensure that older people are valued
OBJECTIVE F: RCN will work with its forums and older people to develop a more positive approach to risk management
F1 In partnership with older
people the RCN older
people’s forums will
explore ways that they
can promote practice that
maximises potential
2005
The RCN has contributed to:
• NHS Estates consultation on Inpatient facilities for
older people – PF
RCN is seen to contribute
and influence policy
development and practice
• DH work on Information for choice – PF, SS, LY
• DH consultation on advocacy – PF, BA
• Vulnerable adults Eng – Forums
• Vulnerable adults Scot – PF, PH
• New editions of RCN publications on Abuse and
restraint being developed
• Nice work – falls – NH, Forum members
• Nice specialist advisor – PF
• Participate in elder restraint project with National
Patient Safety Agency – TP
OBJECTIVE G: RCN will influence the learning and practice development of nurses so that they can maximise the potential of older
people
G1 Promote the RCN BSc
(Hons) in Gerontological
Nursing to increase its
take up
2004 /
2005
• Recruitment now increased HTA Bursaries find new
sponsor – JD
• Education think tank for external stakeholders with
Age Concern – PF, JD, JB, RN, LM, VT, CRu
Increased focus on RCN
work to promote the
educational needs of nurses
working with older people
• Age Care Awards evaluation research project – PF
• Marketing strategy continues to be implemented
• To find new sponsor for bursaries and prizes – JD
• Innovative work on developing methodology to
evaluate impact on practice is underway – JD
• Support of nurses on the political leadership
programme wishing to influence the development of
pre-registration curricula across the sector – PF, JD
G3 In partnership with
government, nurses and
RCN leadership
programme explore the
potential for providing
older people -specific
clinical and political
leadership programmes
2004 /
2005
• Political leadership programme mentorship
undertaken PF
• Forums participating in political leadership programme
– PH, SM, HB, RN, JB, C.RU, MM
• Clinical leadership for nurses working with OP
Programme sponsored by DH in progress – PF, DDZ,
GC, JW
G4 Work with representatives
of NHS andprimary care
trusts, and the
independent sector to
develop a programme for
rotational opportunities
for nurses to move
between acute and
community settings to
broaden experience and
understanding
2006
• Possible area for collaboration in Ellesmere Port and
Neston PCT where two rotational posts between acute
and community settings are proving quite successful.
Experience may add to RCN learning – SB
13
Increased number of nurses
working with older people
undertaking this programme
Working locally and
nationally to raise
awareness of elder abuse
and educational needs of
student nurses.
Now complete, very well
evaluated, network
established
TWO YE A RS ON – C A R I NG I N PA RTN E RS H I P
Milestones
Target date
Success indicators
Outcomes
AIM: To ensure that older people are valued
OBJECTIVE G: RCN will influence the learning and practice development of nurses so that they can maximise the potential of older
people
G7 Work in
partnership with
other agencies to
continue
lobbying and
influencing UK
policies on the
funding of
nursing and longterm care
2004/2005
• Close liaison between Age Concern, HTA, AS and RCN
on the funding of nursing and long term care continues
– PF/E Mc
Congress resolution action plan
produced and implemented UK
perspective.
• The RCN provided evidence of funded continuing care
for AS so that they could support a member who was
seeking funded continuing care – PF
New framework being developed
by DH (England)
• The RCN has contributed to the DH consultations on
Continuing care directives – PF
• RCN is contributing to DH current work on national
(Eng) eligibility criteria and assessment – PF, DT
• An internal stakeholders meeting has been held to
inform RCN policy – Forums, PF, LY,E Mc, RD, NH, GG
• Congress resolution on continuing care being taken
forward UK – PF, LT, JK, PD
RCN submitted evidence to courts
for Grogan case.
RCN submitted evidence to DH
consultation on continuing health
car and funded nursing following
extensive stakeholder
involvement.
• RCN is working with DH and Embrace Learning to
develop a learning course on continuing health care –
PF, AW
• Commissioned research disseminated widely – PF
• Lobbying and media work undertaken to inform
election manifesto – E Mc, PF, RD
• Further internal stakeholder work undertaken – PF,
Emc, RD, VS, LY, AK, HC, AC
• Sharing of concerns and information with the RCN
RNCC nurses and the discharge and liaison nurses
continues and along with evidence from a group of
mental health nurses has been used to inform
discussions with Deborah Sturdy and Ann Macdonald
(DH) – PF, members
• Also need to lobby for access to PCT/NHS education to
support delivery of NHS funded nursing care homes
by independent sector nurses in care homes – NH
14
RCN seen as a key influencer in the
development of continuing health
care and funded nursing policy.
ROYAL COLLEGE OF N URSI NG
Milestones
Target date
Success indicators
Outcomes
AIM: To ensure the delivery of good quality, physical, mental and emotional care
OBJECTIVE H: RCN will encourage its members to contribute to the development of high quality models of nursing
H1 Contribute to the
regeneration of
the local
community
teaching nursing
home project in
north east
London with City
University
2004/2005
• This research project is ongoing – PF, SM
H2 Contribute
actively to
developing
creative ways of
anticipating and
responding to
needs of older
people through
the promotion of
good practice
2005/2006
• RCN is member of Age Concern/Mental Health
Foundation Board of Inquiry – MH and Well being – PF
H3 Support Alison
Kitson in her
membership of
Dignity and Care
working group
DH England
December
2005
onwards
Nursing is contributing to this
important work.
• Review of core competencies skills for health – RN, NH,
• RCN has contributed to DH (eng) consultation on
commissioning – PF
• RCN has contributed to DH (eng) consultation on
Social Care green paper – PF, HC
• Regular page in NOP for forum news – RCN and others
Regular publications in NOP/NS – RN
• Briefings prepared – PF, DDZ
• Discussions being held with HTA and BGS regarding
collaboration on Dignity in care – PF
Profile of forum work has
increased in NOP journal and NS.
RCN is key stakeholder in Dignity
in Care work
• RCN is member of Ian Philp specialist Forum – PF, NC,
JM, JB
OBJECTIVE I: RCN will develop and promote the concept of person-centred practice
I1 Utilise
opportunities
such as
conference
presentations,
guidance and
advice to
promote personcentred ways of
working
2004/2005
/2006
• RCN has contributed to Nice consultation on social
values – BA, HB, PF
• RCN has contributed to Nice consultation on antidementia drugs – BA, HB, PF
• RCN has joined Alliance to resist Nice proposals re
anti-dementia drugs this forms congress resolution
work – CRu, PF, BA
RCN took part in press conference,
met with minister
• RCN is now a member of the elder abuse strategic
alliance, England – RN
Nursing seen to be a key
stakeholder in elder abuse work
• Involvement of forums at regional level i.e. proposed
north west network for nurses working with older
people – SB
NWOP North West Forum has been
established.
• Invited conference presentation in Dublin September
2005 – PF, JD
Well evaluated presentations
which has led to commissioned
work on leadership
• RCN Forum website will publish all presentations from
2005 conference – TP
Unable to achieve this due to
resource problems
15
Key stakeholder in alliance work
and has submitted extensive
evidence
TWO YE A RS ON – C A R I NG I N PA RTN E RS H I P
Milestones
Target date
Success indicators
Outcomes
AIM: To ensure the delivery of good quality, physical, mental and emotional care
OBJECTIVE I: RCN will develop and promote the concept of person-centred practice
I2 Influence the
education
curriculum and
practice
placements for
student nurses
working with
older people
2004/2005
• RCN will contribute to planned NMC work in 2005
– PF, CRu, JB
RCN response submitted to NMC
consultation
• Edu think tank established with Age Concern Concern
in Nov 05 – PF, JB, RN, LM, VT, Cru
NMC attended Education Think
Tank.
Gen Sec is discussing concerns
and planned work with Jonathan
Ashbridge and four country CNOs
between February and April 06
I3 Gather evidence
of the impact of
contemporary
policies that
influence the
delivery of
person-centred
care
2004/2005
I5 Explore with
Government how
RCN can promote
best practice in
work with older
people
2004/2005
• Local influence with regard to principles of Single
Assessment Process as part of both pre-reg and postreg study in HEIs – SB
Awareness raised
• Person Centred practice at the core of BSc (Hons) in
Gerontological Nursing Practice – JD
All modules focus on person
centred practice
• The collaborative research with Warwick University,
University of the West of England and RCN on the
implementation of the RNCC is now complete and with
the DOH England (its commissioners) – PF, DW
Research findings presented at
conferences and used as evidence
to inform cont care work
• Discussions are taking place in terms of identifying a
research resource for Gerontology within the RCN – PF,
LT, KS
Deidre Wild appointed as
Associate Fellow for gerontology
team (research)
• Regular meetings with D. Sturdy – PF
RCN works closely with DH to
actively seek opportunities
• Contributed to Daily Times article – NH, PF
OBJECTIVE J: RCN will promote the role of nurses in securing health and wellbeing in older age
J1 Develop an
information
toolkit for nurses
and older people
on sex and
sexuality
2004/2005
• Delayed for review at strategy meeting 20 February
2006–consultant identified to undertake the work,
funding available – PF
Delayed
J2 Develop an RCN
position
statement on the
nurse’s role in
promoting health
and wellbeing in
older age by
working with
older people and
partner nursing
organisations
2005
• Forums to produce statement in collaboration with
both older people and RCN staff – SB
Delayed
16
ROYAL COLLEGE OF N URSI NG
Milestones
Target date
Success indicators
Outcomes
AIM: To empower older people through the provision of good quality information
OBJECTIVE K: RCN will ensure that its own information is made available to patients, carers and advocates in an
appropriate way
K1 Produce material
in a range of
formats
that can be
accessed by
older people
2006
K2 Review and
update existing
material
2006
AIM: To promote effective partnership working
OBJECTIVE L: RCN will work in partnership with older people to develop its policies and priorities
L1 Develop
arrangements to
involve older
people in RCN
forums to
contribute to
shaping priorities
2004/2005
BGOP/NPC participating in:
• Conference planning and Key note speakers & chairs at
conference – MP, FL, PH,HB,PF
BGOP and NPC reps actively
participated in conference
planning and delivery
• Strategy review –All forums, BGOP and NPC
BGOP and NPC reps actively
involved in strategy work
• Images work – DG, MP,FL,PF,SL
Publications team now have a
working brief of criteria which
informs their images work
• Speaking at All London NPC rally – PF
RCN engaging in greater
communication with pensioners
• Accept invitation to address NPC pensioners
parliament May 2006 – PF
OBJECTIVE M: RCN will develop confident practitioners who can work in partnership with older people
M1 Review modules
on the RCN BSc
GN course in
collaboration
with older people
2005/2006
• BSc GN revalidated with the University of Manchester.
When modules are designated for review, older people
will be invited to be critical readers – JD
M2Encourage
providers of
education to
develop their
material in
partnership with
older people
2005/2006
• Raise at Edu Think Tank Nov 05 – PF, JB, LM, RN, VT, JD,
CRu
17
Education providers as key
stakeholders of education thinktank work will undertake this.
TWO YE A RS ON – C A R I NG I N PA RTN E RS H I P
Milestones
Target date
Success indicators
Outcomes
AIM: To empower older people through the provision of good quality information
OBJECTIVE N: RCN will develop confident practitioners who can work as members of multi-agency and multi-professional teams
N1 Promote the roles
of consultant
nurses and older
people specialist
nurses
2004/2005
/2006
• Project on OPSN hosted workshop 18th Oct 05 – JD, PF,
NH and members
Network established
• OPSN annual event planned – PF, NH, and working
group
• Member of Glasgow Caledonian Virtual College
Advisory group – PF
RCN gerontology has two
associate fellows who are
consultant nurses.
• Ensure RCN work is informed by consultant and
specialist nurses
Consultant and specialist nurses
being involved in influencing
opportunities
N2 Provide support
and networking
opportunities for
consultant
nurses and older
people specialist
nurses
2004/2005
N3 In partnership
with Help the
Aged and local
providers the
RCN will seek
funding to
undertake an
evaluation study
on the outcomes
of the older
people specialist
nurse roles
2004/2005
• OPSN Project –see N1.
• Mentoring commenced with an aspiring consultant
nurse – PF
• Link into DH CN group? – JD
• Workshop on 18th October – PF, JD, NH, DW
Enhanced networking between
practitioners
More effective ways of informing
policy through practice
established
• See N1 and in discussion with big lottery fund for
funding – PF, JD
• HTA has agreed to be a partner in this work
• Further discussions planned to explore way forward –
PF, JE, PF
OBJECTIVE O: RCN will promote the role of older people as active partners in the single or unified assessment process
O1 RCN older
people’s forums
to disseminate
examples of good
practice
2004/2005
• Forums working to highlight best practice via ageing
matters (RCN newsletter) – DT
Greater coverage and enhanced
communication of forum work
• Regular submissions of forum work to Nursing Older
People (RCN journal) – RN, HH
Names and abbreviations
AC
Amanda Callaghan
GG
Gill Gomery
MP
AK
Alison Kitson
HB
Heide Baldwin (Forum)
NH
Nicky Hayes (RCN AF)
AS
Angela Sinclair (NPC)
HC
Howard Catton
PF
BA
Barry Aveyard (Forum)
JB
Julie Bevan (Forum)
Pauline Ford (RCN Gerontological
Nursing Advisor)
CR
Caroline Rapu (RCN Nice Officer)
JD
Jan Draper (RCN Learning)
PH
Paddy Healy (Forum)
CRu
Clare Ruff
JH
Joan Hall (NPC)
PHA
Patricia Harris (BGOP)
DG
Dot Gibson (NPC)
JW
Jonathan Webster (RCN AF)
RD
Rachel Dutton
DT
Debbie Telford (Forum)
KS
Kate Seers
RN
Rebecca Neno (Forum)
DW
Deidre Wild (Ass. Fellow)
LM
Lorraine Morgan (Forum)
SB
Sandra Birnie
DDZ
Debbie Dzik-Jurasz (RCN Leadership)
LMcB Linda McBride (RCN Practice Development)
SL
Shelly Lovesey (RCN Publications)
EJ
Elcena Jeffers (BGOP or NCP)
LT
Liz Tutton
SM
Soo Moore (Advisor to MHOP)
EL
Emma Lang (RCN Publications)
LY
Lynn Young (RCN Community Advisor)
SS
Stephanie Schlingensiepen
EM
Emma McKinney (RCN parliamentary Officer)
MB
Marcia Benson (NPC)
TP
Tracy Paine (Forum)
FL
Florence Lyons (BGOP)
MB
Muniya Barua (RCN Media Officer)
VL
Verity Lewis (RCN Employment Relations Officer)
GC
Geraldine Cunningham
ML
Moira Lambert (RCN Awards Officer)
VS
Valerie Smith (RCN Independent Sector)
18
Maureen Parker (BGOP or NPC)
ROYAL COLLEGE OF N URSI NG
Appendix 3
Older people strategy objectives and
milestones to be achieved 2006/2007
Milestones
Target date
Success indicators for 2006/2007
Outcomes
AIM: To ensure that older people are valued
OBJECTIVE C: RCN will raise the profile of older person abuse to ensure members are alert to its detection and
respond appropriately
C2 Build on the
review to develop
a framework for
good practice for
wider
dissemination
2006
• Raise public awareness of Elder Abuse: collaborate
with partners (Action for Elder Abuse, Help the Aged,
Age Concern) in production of posters, DVD
• Raise awareness in the workforce by;
o Ensuring topic of elder abuse is fed into RCN/Age
Concern work on Education Think Tank – RN
Better informed public and nursing
workforce, more able to recognise
and respond to elder abuse
through a range of conferences,
publications and general
awareness raising activities.
o Lobby to ensure mandatory training on elder abuse
is incorporated in nurse orientation/induction
programmes – RN
o Prepare new addition of RCN guidance on elder
abuse and explore potential for DVD production with
a high impact marketing strategy – RN
• Selected topic for RCN political leadership Programme
– RN
• T-shirt and badge campaign at RCN congress 2005
• Question to political party representatives at congress
2005 – RN
• Presentation at Students day – RN
• Presentation at Fringe RCN congress – RN
• RCN direct fact sheet up dated – RN
• Nursing standard publication – RN
• RCN is a member of Elder Abuse Strategic Alliance
(England) – RN
• Participated in HTA campaign – RN
• Conference presentations Feb, Oct,
Nov 06 – RN
OBJECTIVE D: RCN will work with older people to develop its range of services for nurses working with older people
D3 Work with older
people in the
development of
RCN publications
2005ongoing
• Forums to involve older people – TW
• Images on the cover of publications have now been
adjusted to show more positive images of older people
– TP
• Involvement of older people will come from across UK
– forums
• New documents will have an endorsement from older
people e.g. “This document has been produced in
collaboration with….” – forums
• Documents to be produced in appropriate fonts,
colours and style – PF and SW
19
Publications will appear in
different formats depending on the
topic e.g. executive summary or
bullet points.
All future RCN publications for
nursing older people will have a
nominated lead who will
determine how to engage older
people as stakeholders.
TWO YE A RS ON – C A R I NG I N PA RTN E RS H I P
Milestones
Target date
Success indicators for 2006/2007
Outcomes
AIM: To maximise the potential of older people and nurses
OBJECTIVE G: RCN will influence the learning and practice development of nurses so that they can maximise the potential of older
people
G3 In partnership with
Government nurses and
RCN leadership
programme explore the
potential for providing
older people-specific
clinical and political
leadership programmes
2004/2005
/2006
G4 Work with
representatives of NHS
and primary care trusts,
and the independent
sector to develop a
programme for
rotational opportunities
for nurses to move
between acute and
community settings to
broaden experience and
understanding
2006
G7 Work in partnership
with other gencies to
continue lobbying and
influencing UK policies
on the funding of
nursing and long-term
care
2004/2005
• New leadership programme in Dublin
commissioned for Directors of Nursing – PF, MR
18 DNS currently undertaking
programme
• Two Forum members currently undertaking
Political Leadership Programme – Cru, MM
Projects exploring impact of
images/marketing and local
recruitment strategies.
• Possible area for collaboration in Ellesmere Port
& Neston PCT who have two rotational posts
between acute and community settings which
are proving quite successful. Experience may
add to RCN learning – SB
Disseminate evidence of best
practice
• Collect information on the current opportunities
being offered to staff and evaluate their impact
– TA, VT, TW, BA
• Feed results into the Education Think Tank –
CRu, JB, PF, RN
• Possible area for collaboration in Ellesmere Port
and Neston PCT who have two rotational posts
between acute and community settings which
are proving quite successful – SB
• Close liaison between Age Concern, HTA, AS and
RCN on the funding of nursing and long term
care continues – PF, AK
• RCN is undertaking extensive consultation
exercise on DH proposed Framework for
Continuing care – PF, DT, GB, HH, JP
RCN leading external stakeholders
group to share information and
maximise influencing
opportunities
• Joint publication giving guidance to public and
nurses post Grogan – PF
• Hosting ADSS legal meeting with continuing
care solicitors and practitioners – PF, NH, HC,
HH, JP
Identify legal implications of
consultation framework
• Scotland, Wales and Northern Ireland continue
to influence policies as opportunities arise as
per congress action plan (2005) – PD, LT, JK
RCN UK will share information and
learning from each country
20
ROYAL COLLEGE OF N URSI NG
Milestones
Target date
Success indicators for 2006/2007
Outcomes
AIM: To ensure the delivery of good quality, physical, mental and emotional care
OBJECTIVE H: RCN will encourage its members to contribute to the development of high quality models of nursing
H1 Contribute to the
regeneration ofthe local
community teaching
nursing home project in
north east London with
City University
2004/2005
• This research project is ongoing – PF, SM
Ongoing
H2 Contribute actively to
developing creative
ways of anticipating
and responding to
needs of older people
through the promotion
of good practice
2005/2006
• RCN is member of Age Concern / Mental Health
Foundation Board of Inquiry – MH & Well being – PF
RCN contributed to
Promoting mental health
and well being in later life
publication
H3 Support Alison Kitson in
her membership of
Dignity and Care
working group DH
England
2005 Dec
onwards
• Review of core competencies skills for health –RN, NH
• Regular page in NOP for forum news – RCN and others
Regular publications in NOP/NS – RN
• Ageing Matters –DT
• NOP Journal News Analyst – RN
• Briefings prepared – PF, DDZ
• Discussions being held with HTA and BGS regarding
collaboration on Dignity in care – PF, NC
RCN actively takes
opportunities to promote
and share good practice
RCN is key stakeholder in
Dignity in Care work
• RCN is member of Ian Philp specialist forum – PF, NC,
JM, JB
• Establish effective communication two way
communication channel with Alison Kitson to ensure
Forums are kept up to date on progress – DT, HB
• Letter to Alison Kitson – DT, HB
• ‘Lets Respect’ is nearly completed and ready for roll
out – RN
• Dignity to be a central component of RCN conf
2007Compose theme for conference 2007 – RN, TA,
BA, JB, MP, FL, PF, HH, PA
• Information and shared with Ian Philp for inclusion in
Dignity and care work – TP
H4 Malnutrition among
Older People in the
Community – paper
produced with key
stakeholders launched
in House of Commons
H5 National Patient Safety
Agency Elder Restraint
project
September
2006
• RCN attended launch – TP
• Part of the working party to review the use of bed rails,
physical and chemical restraint in hospitals and
community. meeting in September 2006 – TP
21
RCN supporting call for
action to- raise public
awareness, develop
accredited training in
partnership with Royal
Colleges, further screening
practice, define standards
TWO YE A RS ON – C A R I NG I N PA RTN E RS H I P
Milestones
Target date
Success indicators for 2006/2007
Outcomes
AIM: To ensure the delivery of good quality, physical, mental and emotional care
OBJECTIVE I: RCN will develop and promote the concept of person-centred practice
I1 Utilise opportunities
such as conference
presentations, guidance
and advice to promote
person-centred ways of
working
2004/
2005/
2006/
2007
• RCN has contributed to Nice consultations on antidementia drugs – BA, HB, PF
RCN is a leading
stakeholder in the Alliance.
• RCN has joined Alliance to resist Nice proposals re
anti-dementia drugs this forms congress resolution
work – CRu, PF, BA, HB
Supported day of action
financially
• Theme at congress fringe – HB
Provided written and verbal
evidence at appeal.
• Media interview – HB
• Evidence submitted for Nice review – CR, PF, HB
members
• Campaign lobby with AS – HB, RD, AK
• Evidence submitted for appeal with alliance – CR
• Evidence given at hearing – HB, AK, CR.
Establishing terms of reference for joint work on elder
abuse – RN
• Involvement of forums at regional level i.e. proposed
north west network for nurses working with older
people – SB, TW
I2 Influence the education
curriculum and practice
placements for student
nurses working with
older people
2004/
2005/2006
RCN is now a member of the
Elder Abuse Strategic
Alliance, England
NWOP North West Forum
established.
• Invited conference presentation in Dublin September
2005 – PF, JD
Well evaluated
presentations which has led
to commissioned work on
leadership
• Education Think Tank held four work streams being
taken forward with Age Concern – PF, JB, RN, LM, VT,
Cru
Resource pack and
influencing strategy being
developed
• Each work stream undertaking further work which will
result in specific products – PF, PH, PF, JMcCC
• Letter written to NMC about role of mentors and
practice teachers – members
• Letter written to Council of Deans –members
• Fit for practice conference attended – JB
NMC shared early work on
mentorship with Think Tank.
Age Concern addressed
their meeting
Council of Deans had long
and constructive
discussions based on Letter
received from RCN/Age
Concern
• Abstract submitted for ICN 2007 on pre-reg education
– JB
• Working with care homes locally in the provision of
learning and development – JB
• Person Centred practice at the core of BSc (Hons) in
Gerontological Nursing Practice – JD
22
Specific impact will be
identified. All modules
focus on person centred
practice
ROYAL COLLEGE OF N URSI NG
Milestones
Target date
Success indicators for 2006/2007
Outcomes
AIM: To ensure the delivery of good quality, physical, mental and emotional care
OBJECTIVE I: RCN will develop and promote the concept of person-centred practice
I5 Explore with
Government how RCN
can promote best
practice in work with
older people
2004/2005
• Regular meetings with D. Sturdy – PF
• Contributed to Daily Times article – NH, PF
RCN utilises all
opportunities to identify
and promote best practice
in nursing older people
OBJECTIVE J: RCN will promote the role of nurses in securing health and wellbeing in older age
J1 Develop an information
toolkit for nurses and
older people on sex and
sexuality
J2 Develop an RCN
position statement on
the nurse’s role in
promoting health and
wellbeing in older age
by working with older
people and partner
nursing organisations
2006/2007
2005
Delayed
• Delayed to 2006 consultant identified to undertake the
work, funding available – PF
• Ensure role is covered within Education Think Tank
work – Pf, Cru, RN, JB
• Review existing RCN publications to see if some
statements on Nurses role in health and well being can
be identified – PH
Nurses’ role in promoting
health and well-being will
be highlighted in Education
Think Tank work
AIM: To empower older people through the provision of good quality information
OBJECTIVE K: RCN will ensure that its own information is made available to patients, carers and advocates in an
appropriate way
K1/K2
2006
NB: see also with D3
• Explore possibility of establishing a “readers panel” of
older people when publication is for external (to RCN)
audience – forums
Produce material in a
range of formats that
can be accessed by
older people and review
and update existing
material
Introduce greater clarity
concerning the role,
purpose and audience for
documents
AIM: To promote effective partnership working
OBJECTIVE L: RCN will work in partnership with older people to develop its policies and priorities
L1 Develop arrangements
to involve older people
in RCN forums to
contribute to shaping
priorities
2004/2005
/2006/
2007
BGOP/NPC participating in:
• Conference planning and Key note speakers & chairs
for 2007 conference – MP, FL, PH, PHu, JB, PF, TA
• Strategy review – All Forums, BGOP, NPC, Age Concern
• Speaking at All London NPC rally – PF
• Invited to address NPC pensioners parliament May
2006 – PF
• Forums regularly attend NPC meetings – DT, HB
• Explore how to further involve older people in Forum
work – TW
23
RCN work will be shaped,
informed and influences by
older people as consumers
of health and social care.
TWO YE A RS ON – C A R I NG I N PA RTN E RS H I P
Milestones
Target date
Success indicators for 2006/2007
Outcomes
AIM: To ensure the delivery of good quality, physical, mental and emotional care
OBJECTIVE M: RCN will develop confident practitioners who can work in partnership with older people
M1 Review modules on the
RCN BSc GN course in
collaboration with older
people
2005/2006
• BSc GN revalidated with the University of
Manchester – JD
When modules are
designated for review, older
people will be invited to be
critical readers
OBJECTIVE N: RCN will develop confident practitioners who can work as members of multi-agency and multi-professional teams
N1/N2
Promote the roles of
consultant nurses and
older people specialist
nurses through the
provision of support and
networking opportunities
2004/
2005/
2006
• OPSN working group established – PF, NH, JD
N3 In partnership with Help
the Aged and local
providers the RCN will seek
funding to undertake an
evaluation study on the
outcomes of the older
people specialist nurse
roles
2004/
2005/
2006
• HTA has agreed to be a partner in this work
• OPSN network established – PF
• Further discussions exploring funding options
– PF, JE
New roles which traditional
work isolated situations are
supported
OPSN post holders will
participate in a scoping
study. OPSN post holders
will participate in a scoping
study.
OBJECTIVE O: RCN will promote the role of older people as active partners in the single or unified assessment process
O1 RCN older people’s forums
to disseminate examples
of good practice
2004/2005
• Forums working to highlight best practice via
ageing matters (RCN newsletter) – DT
• Regular submissions of forum work to Nursing
Older People (RCN journal) – RN, HH
Greater coverage and
enhanced communication of
forum work
Names and abbreviations
PF
Pauline Ford (RCN Gerontological Nursing
Advisor)
AK
Alison Kitson (RCN Exec Director nursing)
JK
John Knape (RCN Public Affairs Advisor)
BA
Barry Aveyard (Forum)
JM
Jim Marr (Director, Barchester)
BGOP
Better Government for Older People
JMcCC Jill MacLeod Clark (University of Southampton)
PHu
Philip Hurst (Age Concern England)
CR
Caroline Rapu (RCN Nice Officer)
JP
John Pye
PH
Paddy Healy (RCN Forum)
DT
Debbie Telford (RCN Forum)
LM
Lorraine Morgan (RCN Forum)
RD
Rachel Dufton
DDZ
Debbie Dzik-Jurasz (RCN Leadership)
LT
Lisa Turnbull (RCN Policy Advisor)
RN
Rebecca Neno (RCN Forum)
FL
Florence Lyons (BGOP)
MM
Martha Malatji
SB
Sandra Birnie
GB
Gary Blatch (RCN Forum)
MP
Mary Parkinson
SM
Soo Moore (Advisor to MHOP)
HB
Heide Baldwin (RCN Forum)
NC
Nadia Chambers
SW
Sarah Williams (RCN Forum)
HH
Hazel Heath (Consultant/RCN Member)
NH
Nicky Hayes (Consultant)
TA
Trevor Adams (RCN Forum)
HC
Howard Catton (RCN policy )
N.P.C
National Pensioners Convention
TP
Tracey Paine
JB
Julie Bevan ( RCN Forum)
PA
Pat Anslow (RCN Events)
TW
Tracy Williamson (RCN forum)
JD
Jan Draper (RCN Learning)
PD
MR
Matthew Rice (RCN leadership)
JE
Jonathan Ellis (Help the Aged, Policy Manager)
Pat Dawson (RCN Head of Policy &
Communications)
VT
Valerie Thomas (RCN Forum)
24
December 2006
Published by the Royal College of Nursing
20 Cavendish Square
London
W1G 0RN
020 7409 3333
The RCN represents nurses and nursing,
promotes excellence in practice and shapes
health policies
Publication code 003 102
ISBN: 1-904114-40-7