Professional Documents
Culture Documents
The Evolution of Professional Nursing
The Evolution of Professional Nursing
The Evolution of Professional Nursing
professional
nursing
History of Medicine
MORE
STAFF
WORKING
DIFFERENTLY
Workforce Objectives
• 150,000 more staff
• Doubling in applicants and 60+% more
trainees
• Explosion of new roles
– Delegated tasks e.g. prescribing
– Extended roles e.g. nurse endoscopist
– New roles e.g. advanced practitioner
• Positive staff survey results
• Lower vacancy and sickness absence rates
• Over 90% of staff on new pay systems
Where are we now?
• New workforce planning crisis
– Graduates in some professions unable to
find a job in their vocation
• New Healthcare Select Committee
Enquiry in 2006
• New attempts to ring-fence education
and training and strengthen workforce
planning
Swinging pendulum
Policies since the NHS Plan
• Payment by Results
– Tariff-based commissioning system
• Choice and Competition
– Stronger patient opinion and voice
• Practice Based Commissioning
– Stronger role in primary care
• Commissioning a Patient Led NHS
– Major reorganisation