Notes from Group work at the Community of Practice Meeting 7th
August Scarborough
Discussion around CTLD’s from the Group work discussions
Common themes from the feedback that considered how nurse’s time is
currently spent
In the main, only about a third of time within the working week is spent on
face to face contact (there were a few people with higher and low figures due
to specific job – e.g. nurse managers spent less than 30%)
Around a third of time was spent on ‘admin’ which included IT, note writing,
phone calls, meetings etc
Around a third was spent travelling – in rural areas this was a distance issue
but in towns this was a problem with traffic congestion
Some roles were ‘outliers’ in relation to other community nurses e.g. in
Bradford the majority of one persons role was to deal with ‘crisis
management’.
Significant amount of time is still spent on care management but this varies
across localities
‘Not enough time’ for issues such as research, reading, professional
development etc
General issues included
Problems with IT – some areas the LD service was behind in terms of
implementation
Safeguarding issues are taking up more and more time
Discussion around nurses working in ‘bed based’ services from the group work
discussions
Similar issues to CTLD based nurses about large percentage of time spent on
‘admin’
‘Little’ face to face contact for qualified staff
Significant amount of time spent on MDT co-ordination
Lots of time spent on ‘manpower management’ including rota’s etc
Significant theme around requirement to do audits – clinical and non-clinical
and time implications
Training also a key theme
Student nurses
More contact with client and families
More time for personal development
No time spent with mainstream services
Significant admin and meetings to attend e.g. MDT
Pictures of PIE charts created by groups will be available on the website
www.debramooreassociates.com
DM 16.8.09
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