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