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Re: Fwd: Re: direct entry

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Fran, one of the key differences in the new programme, which is a really

key issue, is that it has shifted from being a post-registration

programme in which the standards can be 'adapted' to suit the course or

area of specialist practice, to a pre-registration one in which the

competencies are REQUIREMENTS for the registration and they must be

implemented by September 2005.

One of the big problems about the currrent CHCN (specialist

practitioner) programme was that the option to adapt had led to great

variability across the UK. The variations largely depended upon things

like local interest and teaching capacity, which is hardly a basis for a

professional qualification. That was a key reason for developing the

new competencies, and for the NMC allowing universities the choice to

teach the new programme as part of the CHCN programme or separately from

it. But there is no longer to vary the outcomes students achieve at the

end of the programme.

Personally, I doubt whether it is possible to achieve the new

competencies in 52 weeks, let alone 32. However, I know some colleagues

whose programmes were due for validation this year have mapped the new

competencies to the continuing CHCN programme, so they clearly think it

is possible. Like you, I would be interested to know if any the

facilitators/development workers etc on Senate have a role in informing

their local workforce confederations about these things and what their

experience is?

best wishes

Fri, 24 Jan 2003 09:28:39 -0000

>

>fj2@... wrote:

>

>

>

>>I am writing to ask whether anyone offers an SP programme that is

>>delivered over 32 weeks (plus 3 weeks annual leave)? Can I have

>>some advice whether it is possible to meet the standards and

>>produce practitioners fit for purpose, practice and award in this time

>>-

>>Currently the courses in our area are 40 - 45 weeks long and

>>include 6

>>weeks study leave at Xmas and Easter.

>>

>>In the North West we are now going through contract renegotiation -

>> a process of consultation has taken place and the tender

>>specification is almost ready to be published. The interpretation of

>>the

>>consultation with practitioners seems (to me) to be skewed and the

>>outcome

>>is that we are now being asked to produce a SP programme of 32

>>weeks with

>>3 weeks annual holiday. Another 10 weeks of funding is available

>>for

>>capability building for students who need it -

>>

>>I would be very interested to know from both educationalists and

>>practitioners whether they have managed to deliver courses in this

>>shorter period - what are the general feelings?? It seems that we

>>will be writing new courses and direct entry!!!

>>

>>Fran

>>

>>Fran

>>

>>fj2@...

>>

>>

>

>

>

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At UWE we are beginning to discuss the development of a new programme and to

involve stakeholders and confederation representatives at the onset. Although

we would anticipate common aspects with community specialist practice

pathways, we would also see many common aspects within public health and

initially with nursing modules- such as 'Foundations in health',

'Interprofessional working'. I feel to manage to complete the competencies

within 52 weeks is a tall order- just like we have faced for years with the

HV pathway and that this is a chance to have the time in the University and

practice to more fully address the competencies.

One of the aspects that seems undecided is around the financing of the

programme?- any thoughts? Hope you are well- many thanks for your continuous

work. Glenys

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Someone was asking about sleep.

I found these articles and links.

2nd BMJ one has got a number of website links in itself.

http://bmj.com/cgi/content/full/324/7345/1062?maxtoshow= & HITS=10 & hits=10 & RES

ULTFORMAT= & titleabstract=infant+sleep & searchid=1043507789573_4492 & stored_sea

rch= & FIRSTINDEX=0 & fdate=1/1/2002 & tdate=9/30/2002 & resourcetype=1,2,3,4,10

http://bmj.com/cgi/content/full/324/7345/1104/a?maxtoshow= & HITS=10 & hits=10 & R

ESULTFORMAT= & titleabstract=infant+sleep & searchid=1043507789573_4492 & stored_s

earch= & FIRSTINDEX=0 & fdate=1/1/2002 & tdate=9/30/2002 & resourcetype=1,2,3,4,10

http://bmj.com/cgi/content/full/324/7345/0/a?maxtoshow= & HITS=10 & hits=10 & RESU

LTFORMAT= & titleabstract=infant+sleep & searchid=1043507789573_4492 & stored_sear

ch= & FIRSTINDEX=0 & fdate=1/1/2002 & tdate=9/30/2002 & resourcetype=1,2,3,4,10

Chris

www.primhe.org

Fwd: Re: direct entry

>Fri, 24 Jan 2003 09:28:39 -0000

fj2@... wrote:

>

>I am writing to ask whether anyone offers an SP programme that is

>delivered over 32 weeks (plus 3 weeks annual leave)? Can I have

>some advice whether it is possible to meet the standards and

>produce practitioners fit for purpose, practice and award in this time

>-

>Currently the courses in our area are 40 - 45 weeks long and

>include 6

>weeks study leave at Xmas and Easter.

>

>In the North West we are now going through contract renegotiation -

> a process of consultation has taken place and the tender

>specification is almost ready to be published. The interpretation of

>the

>consultation with practitioners seems (to me) to be skewed and the

>outcome

>is that we are now being asked to produce a SP programme of 32

>weeks with

>3 weeks annual holiday. Another 10 weeks of funding is available

>for

>capability building for students who need it -

>

>I would be very interested to know from both educationalists and

>practitioners whether they have managed to deliver courses in this

>shorter period - what are the general feelings?? It seems that we

>will be writing new courses and direct entry!!!

>

>Fran

>

>Fran

>

>fj2@...

--

Cowley

Professor of Community Practice Development

Public Health and Health Services Research Section

Florence Nightingale School of Nursing and Midwifery

King's College, London

3.29b Clerk Maxwell Building

57 Waterloo Road

London SE1 8WA

tel: 020 7848 3030

fax: 020 7848 3506

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Dear Fran

I would very srongly urge you not even to consider running a shorter course. As

we all know,

there is FAR too much to fit into even 52 weeks.

Approx 6 years ago we shortened to 45 weeks whilst many other local Universities

went

considerably shorter. The result was that just 2 yrs later what are now the SE

and SW London

WDCs decided they would only sponsor students to Universities offering 52 week

courses as they

found many students coming off the shorter courses were not ready to practice

safely and

needed to be closely mentored for at least a year following training. This

applied to

practitioners from all dicsciplines. At their request we now run a 52 week

programme which

includes 3 wks annual leave and a final 12 week block of practice-and we still

struggle, with

the HVs at least, to cover all we want to cover in their programme

I think you should resist any such move to compromise the standard of education

your students

require. Good luck! Frances

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Thanks Frances, and all others who have been responding - we

know it doesn't make sense - I don't know where I would start

writing a shorter course - we are trying to make representation to

our contracting Confederation - but it may be a case of 'do it' or

lose the business - which we can't afford to do - we are between a

rock and a hard place. I am collating the responses and hope to

use them as evidence that 32 weeks is not viable -

I know we can seem precious with our courses - but this is sheer

madness - all comments gratefully received.

It will be very interesting as we move towards writing direct entry

courses but at the moment I can see we are losing the quality from

our current courses

fran

Copies to:

From: " Frances Appleby " <applebfm@...>

Date sent: Mon, 27 Jan 2003 11:07:51 +0000

Subject: Re: Fwd: Re: direct entry

Send reply to:

> Dear Fran

> I would very srongly urge you not even to consider running a shorter course.

As we all know,

> there is FAR too much to fit into even 52 weeks.

> Approx 6 years ago we shortened to 45 weeks whilst many other local

Universities went

> considerably shorter. The result was that just 2 yrs later what are now the SE

and SW London

> WDCs decided they would only sponsor students to Universities offering 52 week

courses as they

> found many students coming off the shorter courses were not ready to practice

safely and

> needed to be closely mentored for at least a year following training. This

applied to

> practitioners from all dicsciplines. At their request we now run a 52 week

programme which

> includes 3 wks annual leave and a final 12 week block of practice-and we still

struggle, with

> the HVs at least, to cover all we want to cover in their programme

> I think you should resist any such move to compromise the standard of

education your students

> require. Good luck! Frances

>

>

>

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I totally agree with all that's been said, we are in the same

predicament, we have put our new curriculum on hold and have had

permission to run our existing course for one more year. at present

our course runs for 45 weeks, the other pathways want the course to

be decreased to 40weeks, which for health visiting is impossible

because of the new standards, we would very much like to run HV

alone, the issue is funding if we increase to 52 weeks or more. are

any institutions who are running or intending to run HV alone and

was there any issues around funding a separate course.

Lorraine

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Dear ,

Here, in Epsom, we offer a University degree honours in partnership with

nescot, and we provide a 51 week programme for specialist practice,

including 6 weeks annual leave. This has been what we have agreed with the

south west london WDC and Kent Surrey Sussex Confederation. Any course

shorter than than this would not be long enough to to enable students to

achieve the outcomes of the programme. We work closely with Frances Appleby

at Southbank as we tend to co-terminous boundaries.

Hope this is useful

Vasso Vydelingum

Director of Studies

Fwd: Re: direct entry

>Fri, 24 Jan 2003 09:28:39 -0000

fj2@... wrote:

>

>I am writing to ask whether anyone offers an SP programme that is

>delivered over 32 weeks (plus 3 weeks annual leave)? Can I have

>some advice whether it is possible to meet the standards and

>produce practitioners fit for purpose, practice and award in this time

>-

>Currently the courses in our area are 40 - 45 weeks long and

>include 6

>weeks study leave at Xmas and Easter.

>

>In the North West we are now going through contract renegotiation -

> a process of consultation has taken place and the tender

>specification is almost ready to be published. The interpretation of

>the

>consultation with practitioners seems (to me) to be skewed and the

>outcome

>is that we are now being asked to produce a SP programme of 32

>weeks with

>3 weeks annual holiday. Another 10 weeks of funding is available

>for

>capability building for students who need it -

>

>I would be very interested to know from both educationalists and

>practitioners whether they have managed to deliver courses in this

>shorter period - what are the general feelings?? It seems that we

>will be writing new courses and direct entry!!!

>

>Fran

>

>Fran

>

>fj2@...

--

Cowley

Professor of Community Practice Development

Public Health and Health Services Research Section

Florence Nightingale School of Nursing and Midwifery

King's College, London

3.29b Clerk Maxwell Building

57 Waterloo Road

London SE1 8WA

tel: 020 7848 3030

fax: 020 7848 3506

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If it takes three years to prepare a direct entry midwife, why are we

thinking it takes less to prepare a direct entry HV? Remember if we take

people who are not nurses we have to include the " midwifery and nursing

component " . Also I assume we are thinking about a qualification at not less

than degree level - which takes three years

June

Re: Fwd: Re: direct entry

Dear Fran

I would very srongly urge you not even to consider running a shorter course.

As we all know,

there is FAR too much to fit into even 52 weeks.

Approx 6 years ago we shortened to 45 weeks whilst many other local

Universities went

considerably shorter. The result was that just 2 yrs later what are now the

SE and SW London

WDCs decided they would only sponsor students to Universities offering 52

week courses as they

found many students coming off the shorter courses were not ready to

practice safely and

needed to be closely mentored for at least a year following training. This

applied to

practitioners from all dicsciplines. At their request we now run a 52 week

programme which

includes 3 wks annual leave and a final 12 week block of practice-and we

still struggle, with

the HVs at least, to cover all we want to cover in their programme

I think you should resist any such move to compromise the standard of

education your students

require. Good luck! Frances

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You know, I sometimes am so flippant..but I have to say that the concept

of a 'direct entry midwife' has just reduced me to a screaming heap of

risible

jelly; presumably there are direct exit obstetricians?

Re: Fwd: Re: direct entry

Dear Fran

I would very srongly urge you not even to consider running a shorter course.

As we all know,

there is FAR too much to fit into even 52 weeks.

Approx 6 years ago we shortened to 45 weeks whilst many other local

Universities went

considerably shorter. The result was that just 2 yrs later what are now the

SE and SW London

WDCs decided they would only sponsor students to Universities offering 52

week courses as they

found many students coming off the shorter courses were not ready to

practice safely and

needed to be closely mentored for at least a year following training. This

applied to

practitioners from all dicsciplines. At their request we now run a 52 week

programme which

includes 3 wks annual leave and a final 12 week block of practice-and we

still struggle, with

the HVs at least, to cover all we want to cover in their programme

I think you should resist any such move to compromise the standard of

education your students

require. Good luck! Frances

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Just as well we can laugh! As a committed generalist (ie generalist training

to initial registration followed by post-basic specialisation, as in all

other professions) I find the whole concept of direct entry to anything

wierd!

June

Re: Fwd: Re: direct entry

Dear Fran

I would very srongly urge you not even to consider running a shorter course.

As we all know,

there is FAR too much to fit into even 52 weeks.

Approx 6 years ago we shortened to 45 weeks whilst many other local

Universities went

considerably shorter. The result was that just 2 yrs later what are now the

SE and SW London

WDCs decided they would only sponsor students to Universities offering 52

week courses as they

found many students coming off the shorter courses were not ready to

practice safely and

needed to be closely mentored for at least a year following training. This

applied to

practitioners from all dicsciplines. At their request we now run a 52 week

programme which

includes 3 wks annual leave and a final 12 week block of practice-and we

still struggle, with

the HVs at least, to cover all we want to cover in their programme

I think you should resist any such move to compromise the standard of

education your students

require. Good luck! Frances

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I used to be a general practitioner..now whatever happened to them?

I told my punters moons ago that it was high-time for skills to meet

needs too and that barefoot docs/practitioners had masses to offer

most people most of the time and now I see we are to get GP assistants?

I would like to see people in a civilised society being skilled for life

too, not just trained for jobs..I mean why should so many people have

to get so much of what they need to know from the same old fountains any

longer.

IF we are going to have doctors, and GPs, amongst them, what should be

their CORE business now exactly...it seems to have become increasingly what

used to be everyone else's business!

Re: Fwd: Re: direct entry

Dear Fran

I would very srongly urge you not even to consider running a shorter course.

As we all know,

there is FAR too much to fit into even 52 weeks.

Approx 6 years ago we shortened to 45 weeks whilst many other local

Universities went

considerably shorter. The result was that just 2 yrs later what are now the

SE and SW London

WDCs decided they would only sponsor students to Universities offering 52

week courses as they

found many students coming off the shorter courses were not ready to

practice safely and

needed to be closely mentored for at least a year following training. This

applied to

practitioners from all dicsciplines. At their request we now run a 52 week

programme which

includes 3 wks annual leave and a final 12 week block of practice-and we

still struggle, with

the HVs at least, to cover all we want to cover in their programme

I think you should resist any such move to compromise the standard of

education your students

require. Good luck! Frances

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I thought that one of the points in the consideration of 'direct entry'into

health visiting was that the profession - given it's history and present day

practice - need not necessarily be classified as a 'post-basic

specialisation' of NURSING.

There are so many others who have a relevant wealth of learning and

experience to bring into health visiting and would become excellent

practitioners following an appropriate training. It is my understanding that

many of these prospective and hoped for applicants will previously have

obtained first degrees and/or other qualifications. This is hardly

recruiting a workforce with no previous expertise. Until now they have not

been able to apply for health visitor training as they do not have the

relatively recent requirement of a nursing qualification. I can only feel

that the health visiting service would be enriched by embracing applicants

from a wider background.

Now that we have the competencies set out by UKCC in March 2002, if these

continue to be accepted, there will exist a baseline standard of entry for

health visiting, which I think should be used to full advantage.

>From: " , June " <j.clark@...>

>Reply-

> " ' ' " < >

>Subject: RE: Fwd: Re: direct entry

>Date: Tue, 28 Jan 2003 18:24:57 -0000

>

>Just as well we can laugh! As a committed generalist (ie generalist

>training

>to initial registration followed by post-basic specialisation, as in all

>other professions) I find the whole concept of direct entry to anything

>wierd!

>June

>

> Re: Fwd: Re: direct entry

>

>

>Dear Fran

>I would very srongly urge you not even to consider running a shorter

>course.

>As we all know,

>there is FAR too much to fit into even 52 weeks.

>Approx 6 years ago we shortened to 45 weeks whilst many other local

>Universities went

>considerably shorter. The result was that just 2 yrs later what are now the

>SE and SW London

>WDCs decided they would only sponsor students to Universities offering 52

>week courses as they

>found many students coming off the shorter courses were not ready to

>practice safely and

>needed to be closely mentored for at least a year following training. This

>applied to

>practitioners from all dicsciplines. At their request we now run a 52 week

>programme which

>includes 3 wks annual leave and a final 12 week block of practice-and we

>still struggle, with

>the HVs at least, to cover all we want to cover in their programme

> I think you should resist any such move to compromise the standard of

>education your students

>require. Good luck! Frances

>

>

>

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Clarification please.

What are 'barefoot docs' and what is 'a civilised society'?

>From: " Manning " <chris.manning@...>

>Reply-

>< >

>Subject: RE: Fwd: Re: direct entry

>Date: Tue, 28 Jan 2003 18:28:50 -0000

>

>I used to be a general practitioner..now whatever happened to them?

>I told my punters moons ago that it was high-time for skills to meet

>needs too and that barefoot docs/practitioners had masses to offer

>most people most of the time and now I see we are to get GP assistants?

>

>I would like to see people in a civilised society being skilled for life

>too, not just trained for jobs..I mean why should so many people have

>to get so much of what they need to know from the same old fountains any

>longer.

>

>IF we are going to have doctors, and GPs, amongst them, what should be

>their CORE business now exactly...it seems to have become increasingly what

>used to be everyone else's business!

>

> Re: Fwd: Re: direct entry

>

>

>Dear Fran

>I would very srongly urge you not even to consider running a shorter

>course.

>As we all know,

>there is FAR too much to fit into even 52 weeks.

>Approx 6 years ago we shortened to 45 weeks whilst many other local

>Universities went

>considerably shorter. The result was that just 2 yrs later what are now the

>SE and SW London

>WDCs decided they would only sponsor students to Universities offering 52

>week courses as they

>found many students coming off the shorter courses were not ready to

>practice safely and

>needed to be closely mentored for at least a year following training. This

>applied to

>practitioners from all dicsciplines. At their request we now run a 52 week

>programme which

>includes 3 wks annual leave and a final 12 week block of practice-and we

>still struggle, with

>the HVs at least, to cover all we want to cover in their programme

> I think you should resist any such move to compromise the standard of

>education your students

>require. Good luck! Frances

>

>

>

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Barefoot docs are what they have in China...people skilled to administer

30-40

common interventions for the commonest conditions..actually I think they

might even be numbered..bit

like the Flying Doctor..Oh yes, Edna it's a bad case of 7..take 3 of b and 4

of y

from the medicine cabinet every five hours.

Civilised society is either the term used by UK politicians to describe the

UK

or it is the measure of the degree at ground level that the society attaches

to the

well-being of its citizens and the processes that generate the optimal

states

and develop them further. In my field of mental health it is a benchmark

measurement

of how well the culture treats those with mental illness.

Re: Fwd: Re: direct entry

>

>

>Dear Fran

>I would very srongly urge you not even to consider running a shorter

>course.

>As we all know,

>there is FAR too much to fit into even 52 weeks.

>Approx 6 years ago we shortened to 45 weeks whilst many other local

>Universities went

>considerably shorter. The result was that just 2 yrs later what are now the

>SE and SW London

>WDCs decided they would only sponsor students to Universities offering 52

>week courses as they

>found many students coming off the shorter courses were not ready to

>practice safely and

>needed to be closely mentored for at least a year following training. This

>applied to

>practitioners from all dicsciplines. At their request we now run a 52 week

>programme which

>includes 3 wks annual leave and a final 12 week block of practice-and we

>still struggle, with

>the HVs at least, to cover all we want to cover in their programme

> I think you should resist any such move to compromise the standard of

>education your students

>require. Good luck! Frances

>

>

>

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Yes, stick to the three years with the possibilities of carefully

APLing.

How's the jelly now, Chris?

< >

From: " Manning " <chris.manning@...>

Date sent: Tue, 28 Jan 2003 18:12:41 -0000

Subject: RE: Fwd: Re: direct entry

Send reply to:

[ Double-click this line for list subscription options ]

You know, I sometimes am so flippant..but I have to say that the concept

of a 'direct entry midwife' has just reduced me to a screaming heap of

risible

jelly; presumably there are direct exit obstetricians?

Re: Fwd: Re: direct entry

Dear Fran

I would very srongly urge you not even to consider running a shorter course.

As we all know,

there is FAR too much to fit into even 52 weeks.

Approx 6 years ago we shortened to 45 weeks whilst many other local

Universities went

considerably shorter. The result was that just 2 yrs later what are now the

SE and SW London

WDCs decided they would only sponsor students to Universities offering 52

week courses as they

found many students coming off the shorter courses were not ready to

practice safely and

needed to be closely mentored for at least a year following training. This

applied to

practitioners from all dicsciplines. At their request we now run a 52 week

programme which

includes 3 wks annual leave and a final 12 week block of practice-and we

still struggle, with

the HVs at least, to cover all we want to cover in their programme

I think you should resist any such move to compromise the standard of

education your students

require. Good luck! Frances

Link to comment
Share on other sites

What's APLing?

Re: Fwd: Re: direct entry

Dear Fran

I would very srongly urge you not even to consider running a shorter course.

As we all know,

there is FAR too much to fit into even 52 weeks.

Approx 6 years ago we shortened to 45 weeks whilst many other local

Universities went

considerably shorter. The result was that just 2 yrs later what are now the

SE and SW London

WDCs decided they would only sponsor students to Universities offering 52

week courses as they

found many students coming off the shorter courses were not ready to

practice safely and

needed to be closely mentored for at least a year following training. This

applied to

practitioners from all dicsciplines. At their request we now run a 52 week

programme which

includes 3 wks annual leave and a final 12 week block of practice-and we

still struggle, with

the HVs at least, to cover all we want to cover in their programme

I think you should resist any such move to compromise the standard of

education your students

require. Good luck! Frances

Link to comment
Share on other sites

Accreditation of Prior Learning. For example, on our prereg nursing

programmes now it is expected that HCAs will be APLd for at least

part of the first year (and some programmes have been designed

with first year outcomes including NVQ3 so that HCAs can be

APLd for all the first year). I think its quite possible that an HCA

could be APLd for some of the nursing content of a direct entry

programme.

< >

From: " Manning " <chris.manning@...>

Date sent: Wed, 29 Jan 2003 08:44:24 -0000

Subject: RE: Fwd: Re: direct entry

Send reply to:

[ Double-click this line for list subscription options ]

What's APLing?

Re: Fwd: Re: direct entry

Dear Fran

I would very srongly urge you not even to consider running a shorter course.

As we all know,

there is FAR too much to fit into even 52 weeks.

Approx 6 years ago we shortened to 45 weeks whilst many other local

Universities went

considerably shorter. The result was that just 2 yrs later what are now the

SE and SW London

WDCs decided they would only sponsor students to Universities offering 52

week courses as they

found many students coming off the shorter courses were not ready to

practice safely and

needed to be closely mentored for at least a year following training. This

applied to

practitioners from all dicsciplines. At their request we now run a 52 week

programme which

includes 3 wks annual leave and a final 12 week block of practice-and we

still struggle, with

the HVs at least, to cover all we want to cover in their programme

I think you should resist any such move to compromise the standard of

education your students

require. Good luck! Frances

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Right, thanks for that.

Re: Fwd: Re: direct entry

Dear Fran

I would very srongly urge you not even to consider running a shorter course.

As we all know,

there is FAR too much to fit into even 52 weeks.

Approx 6 years ago we shortened to 45 weeks whilst many other local

Universities went

considerably shorter. The result was that just 2 yrs later what are now the

SE and SW London

WDCs decided they would only sponsor students to Universities offering 52

week courses as they

found many students coming off the shorter courses were not ready to

practice safely and

needed to be closely mentored for at least a year following training. This

applied to

practitioners from all dicsciplines. At their request we now run a 52 week

programme which

includes 3 wks annual leave and a final 12 week block of practice-and we

still struggle, with

the HVs at least, to cover all we want to cover in their programme

I think you should resist any such move to compromise the standard of

education your students

require. Good luck! Frances

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Share on other sites

Quite agree June. I have been pressing for a three year degree for

those without prior qualifications; some say we should be thinking of

four years. I think it is hard to argue against that educationally, but

the financial case would be impossible to make.

However, I think Fran, Frances and others were commenting about the

length of training for those already qualified as a nurse or a midwife.

I have to say that I find it hard to see 45, or even 52, weeks as an

'extended course' and think it will be impossible for students to

achieve the new competences in that time. As with midwifery, I think

health visitor students should have at least 18 months even with prior

qualifications, but again, feel sure that the financial case would be

very difficult to make, with most confederations fixed in the mindset

of 'least is best.' best wishes

, June wrote:

>If it takes three years to prepare a direct entry midwife, why are we

>thinking it takes less to prepare a direct entry HV? Remember if we take

>people who are not nurses we have to include the " midwifery and nursing

>component " . Also I assume we are thinking about a qualification at not less

>than degree level - which takes three years

>June

>

> Re: Fwd: Re: direct entry

>

>

>Dear Fran

>I would very srongly urge you not even to consider running a shorter course.

>As we all know,

>there is FAR too much to fit into even 52 weeks.

>Approx 6 years ago we shortened to 45 weeks whilst many other local

>Universities went

>considerably shorter. The result was that just 2 yrs later what are now the

>SE and SW London

>WDCs decided they would only sponsor students to Universities offering 52

>week courses as they

>found many students coming off the shorter courses were not ready to

>practice safely and

>needed to be closely mentored for at least a year following training. This

>applied to

>practitioners from all dicsciplines. At their request we now run a 52 week

>programme which

>includes 3 wks annual leave and a final 12 week block of practice-and we

>still struggle, with

>the HVs at least, to cover all we want to cover in their programme

> I think you should resist any such move to compromise the standard of

>education your students

>require. Good luck! Frances

>

>

>

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I understand that very well (although I don't necessarily agree); the point

is that those who come in from other backgrounds will need a considerable

component in their programme about health and illness, and for them this

will be in addition to what current students get in their health visiting

programme. By the way, the recency of the nursing requirement is something

of a myth - it was there a hundred years ago in Scotland, and was de facto

used in England from that time on, although it was not formalised in England

until the establishment of the Council for the education and Training of

Health Visitors in 1962. I do not know any country in the world where it is

not a postbasic nursing qualification although there may be some that I do

not know about (Finland did try and had to revert)- and, before you say it,

please don't say that health visiting is unique to the UK because it is not!

June

Re: Fwd: Re: direct entry

>

>

>Dear Fran

>I would very srongly urge you not even to consider running a shorter

>course.

>As we all know,

>there is FAR too much to fit into even 52 weeks.

>Approx 6 years ago we shortened to 45 weeks whilst many other local

>Universities went

>considerably shorter. The result was that just 2 yrs later what are now the

>SE and SW London

>WDCs decided they would only sponsor students to Universities offering 52

>week courses as they

>found many students coming off the shorter courses were not ready to

>practice safely and

>needed to be closely mentored for at least a year following training. This

>applied to

>practitioners from all dicsciplines. At their request we now run a 52 week

>programme which

>includes 3 wks annual leave and a final 12 week block of practice-and we

>still struggle, with

>the HVs at least, to cover all we want to cover in their programme

> I think you should resist any such move to compromise the standard of

>education your students

>require. Good luck! Frances

>

>

>

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We could have a long discussion about the definition of a civilised society,

but " barefoot docs " was the name given to the primary care workers used (and

I think they may still exist) in China and the former Soviet Union. History,

and comparative health care systems is obviously another subject that got

dropped when the HV programme was shortened!

June

Re: Fwd: Re: direct entry

>

>

>Dear Fran

>I would very srongly urge you not even to consider running a shorter

>course.

>As we all know,

>there is FAR too much to fit into even 52 weeks.

>Approx 6 years ago we shortened to 45 weeks whilst many other local

>Universities went

>considerably shorter. The result was that just 2 yrs later what are now the

>SE and SW London

>WDCs decided they would only sponsor students to Universities offering 52

>week courses as they

>found many students coming off the shorter courses were not ready to

>practice safely and

>needed to be closely mentored for at least a year following training. This

>applied to

>practitioners from all dicsciplines. At their request we now run a 52 week

>programme which

>includes 3 wks annual leave and a final 12 week block of practice-and we

>still struggle, with

>the HVs at least, to cover all we want to cover in their programme

> I think you should resist any such move to compromise the standard of

>education your students

>require. Good luck! Frances

>

>

>

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I agree. you know the old saw: If you want to get to xxx I wouldn't start

from here. Trouble is this is where we are. I think we should make a virtue

out of necessity and say what is good enough for midwifery is good enough

for us ie three year direct entry or 18 months post-reg. Of course you know

that what I would really like is a four year integrated programme.

June

Re: Fwd: Re: direct entry

>

>

>Dear Fran

>I would very srongly urge you not even to consider running a shorter

course.

>As we all know,

>there is FAR too much to fit into even 52 weeks.

>Approx 6 years ago we shortened to 45 weeks whilst many other local

>Universities went

>considerably shorter. The result was that just 2 yrs later what are now the

>SE and SW London

>WDCs decided they would only sponsor students to Universities offering 52

>week courses as they

>found many students coming off the shorter courses were not ready to

>practice safely and

>needed to be closely mentored for at least a year following training. This

>applied to

>practitioners from all dicsciplines. At their request we now run a 52 week

>programme which

>includes 3 wks annual leave and a final 12 week block of practice-and we

>still struggle, with

>the HVs at least, to cover all we want to cover in their programme

> I think you should resist any such move to compromise the standard of

>education your students

>require. Good luck! Frances

>

>

>

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Hi Chris

thank you for the light entertainment - I was as creased as you at the thought of "direct entry midwives" and the reciprocal obstetricians - great.............Life has to be a laugh ( or we die)

Sheelah

RE: Fwd: Re: direct entryIf it takes three years to prepare a direct entry midwife, why are wethinking it takes less to prepare a direct entry HV? Remember if we takepeople who are not nurses we have to include the "midwifery and nursingcomponent". Also I assume we are thinking about a qualification at not lessthan degree level - which takes three yearsJune-----Original Message-----From: Frances Appleby [mailto:applebfm@...]Sent: 27 January 2003 11:08 Cc: Subject: Re: Fwd: Re: direct entryDear FranI would very srongly urge you not even to consider running a shorter course.As we all know,there is FAR too much to fit into even 52 weeks.Approx 6 years ago we shortened to 45 weeks whilst many other localUniversities wentconsiderably shorter. The result was that just 2 yrs later what are now theSE and SW LondonWDCs decided they would only sponsor students to Universities offering 52week courses as theyfound many students coming off the shorter courses were not ready topractice safely andneeded to be closely mentored for at least a year following training. Thisapplied topractitioners from all dicsciplines. At their request we now run a 52 weekprogramme whichincludes 3 wks annual leave and a final 12 week block of practice-and westill struggle, withthe HVs at least, to cover all we want to cover in their programmeI think you should resist any such move to compromise the standard ofeducation your studentsrequire. Good luck! Frances

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Hall, as Head Of Midwifery started a direct entry course about 6 years ago in Brighton. She compared and evaluated direct entrant/nursemidwife practice as part of her thesis,'Wise Women' which received commendation, as I believe acknowledged last year. Why not a 3 year direct entry course with nursing and midwifery components?At least there is evidence that it worked in midwifery. Why not pilot it?Ann.

>From: "Sheelah Seeley"

>Reply- >

>Subject: RE: Fwd: Re: direct entry >Date: Wed, 29 Jan 2003 20:13:28 -0000 > >Hi >thank you for the light entertainment - I was as creased as you at the >thought of "direct entry midwives" and the reciprocal obstetricians - >great.............Life has to be a laugh ( or we die) >Sheelah > Re: Fwd: Re: direct entry > > > Dear Fran > I would very srongly urge you not even to consider running a shorter >course. > As we all know, > there is FAR too much to fit into even 52 weeks. > Approx 6 years ago we shortened to 45 weeks whilst many other local > Universities went > considerably shorter. The result was that just 2 yrs later what are now >the > SE and SW London > WDCs decided they would only sponsor students to Universities offering 52 > week courses as they > found many students coming off the shorter courses were not ready to > practice safely and > needed to be closely mentored for at least a year following training. This > applied to > practitioners from all dicsciplines. At their request we now run a 52 week > programme which > includes 3 wks annual leave and a final 12 week block of practice-and we > still struggle, with > the HVs at least, to cover all we want to cover in their programme > I think you should resist any such move to compromise the standard of > education your students > require. Good luck! Frances > > >

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