deborah sturdy rn msc (econ) - queen's nursing institute€¦ · deborah sturdy rn msc (econ)...
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![Page 1: Deborah Sturdy RN MSc (Econ) - Queen's Nursing Institute€¦ · Deborah Sturdy RN MSc (Econ) Honorary Nurse Advisor Care England Director Health & Well Being Royal Hospital Chelsea](https://reader033.vdocuments.mx/reader033/viewer/2022060210/5f049b907e708231d40ecf7f/html5/thumbnails/1.jpg)
Deborah Sturdy RN MSc (Econ) Honorary Nurse Advisor Care England
Director Health & Well Being Royal Hospital Chelsea
![Page 2: Deborah Sturdy RN MSc (Econ) - Queen's Nursing Institute€¦ · Deborah Sturdy RN MSc (Econ) Honorary Nurse Advisor Care England Director Health & Well Being Royal Hospital Chelsea](https://reader033.vdocuments.mx/reader033/viewer/2022060210/5f049b907e708231d40ecf7f/html5/thumbnails/2.jpg)
Deborah Sturdy RN MSc (Econ) Honorary Nurse Advisor Care England
Director Health & Well Being Royal Hospital Chelsea
![Page 3: Deborah Sturdy RN MSc (Econ) - Queen's Nursing Institute€¦ · Deborah Sturdy RN MSc (Econ) Honorary Nurse Advisor Care England Director Health & Well Being Royal Hospital Chelsea](https://reader033.vdocuments.mx/reader033/viewer/2022060210/5f049b907e708231d40ecf7f/html5/thumbnails/3.jpg)
![Page 4: Deborah Sturdy RN MSc (Econ) - Queen's Nursing Institute€¦ · Deborah Sturdy RN MSc (Econ) Honorary Nurse Advisor Care England Director Health & Well Being Royal Hospital Chelsea](https://reader033.vdocuments.mx/reader033/viewer/2022060210/5f049b907e708231d40ecf7f/html5/thumbnails/4.jpg)
• 400,000 +older people live in care
• 20,000 Care Homes in UK
• Average stay 19 months
• Average age 85 years at entry
• 70% Cognitive impairment
• 40% depression
• 75% classified “severely disabled” (OFT 2005)
• Massive increase in dependency levels in last 2 decades
• Generally unable to remain in the community
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Care Quality Commission England- regulator
Care costs
Wage costs
Funding / Commissioning
Poor image
Instability – Economic landscape
Quality concerns
In the next 8 years 71,000 more places needed – who’s going to care?
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Few leaders and national role models Few senior nursing posts amongst providers & no requirement for them 50% of the market is operated by single or small group providers Communication nightmare! Poor integration with NHS in the main – NHS Vanguards making some headway
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•Scandals
•Poor quality
•Money-grabbing
•Undesirable
•Less relevant
•In decline
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• ½ million employed in care homes • Lack of funding for training • Un registered workforce paid less than
those looking after our rubbish • 66% NVQ2 • 39% feel unappreciated by public (Skills for
Care) • Closures and de registrations due to lack of
RN’s
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Brexit and impact on RN’s
National Minimum wage increases
Lack of investment in infrastructure
No long term planning and solutions being sought in a systematic way
Head in the sand will not resolve the impact this is and will continue to have on the NHS and statutory services
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NHS Plan- Decentralisation agenda
Announcement Jeremy Hunt 19/6/15 more nurses, more primary care support including care homes ?
Integration push to put pilots in place
Funding of Long Term Care not addressed
Little innovation
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Poor recruitment & retention
Inability to recruit RN’s
8-40% staff turnover
Poor training & CPD opportunities
Poor peer support
Unable to access HEE funded programmes in the main
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47,545 shortfall in staff in Care Homes
Meeting CQC regulations / commissioners
creates anxiety in sector
Lack of consistency of roles & CPD
Need for “register” or legislation for a code of conduct for care workers
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Poorly regarded area of practice
Poor information systems
Underinvestment in innovation
Teaching Care Home pilots – Foundation of Nursing Studies
Inequality of access to information
Poor tech infrastructure
Lack of confidence
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Innovation
Care is good in parts
Developing partnerships with others
Growth of commissioned teams to support care
Use of tele medicine
GP Case management
Consultant lead rounds
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Changing expectations
Changing needs – societal picture of ageing
Needs innovation & clinical leadership
Communal living more acceptable ?
Are providers keeping up with the demand
Changes in needs e.g. Learning Disability, autism provision
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Requires highly skilled workforce
Requires acknowledgement of complexity & acuity of need
Regulation changes & attitude - flexibility
Peer respect
Policy Focus on upstream intervention & service partnerships
It’s a little bit about £
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5 Pilots
Led by Foundation of Nursing Studies
Caring Culture – Development Set
Learning for all
Change image
Home based projects
5 more pilots funded 17/18
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Needs a new narrative
Nurse Led Units
Need to reengage with the fundamentals of the art of nursing
Long Term Care the emergent go to speciality
Chair in Long Term Nursing – UK first
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•Change of use
•Vital part of care spectrum
•Demand increasing 40,000 beds needed in next decade
•Greater specialism – sub specialism emerging new market
•Reducing pressure on NHS – creating partnerships
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