RE: New ish  nurse

[Guest guest]

The ish Executive has just published in draft a model that suggests the triple duty model titled the communiyt health nurse - going full circle

Maureen.

========================================Message Received: Jun 16 2006, 01:47 PMFrom: hwood@...To: Cc: Subject: RE: New ish  nurseThis does sound rather familiar, Maureen. In England at least there are moves to replace HVs with a new unregistered level 3 or 4 practitioner to work with people in the community to help them improve their health. The triple duty model was considered to be cheaper than employing individual specialists and the original Family Health Nurse model was akin to a DN who did a bit of health visiting in rural and island communities - are they still training these in Scotland? Cheaper to train too.There's also the Community Matron role, working to maintain people with long term conditions. This has a mix of public health (if only in the case finding) and case management about it. If I were inclined to paranoia, I'd feel a bit marginalised especially when policies don't use terms relating to current practitioners. But it does tend to make the existing roles look out of date and irrelevant. Most are nothing of the sort, but there are always a few examples of practice which seems to miss the real population needs a bit.It's funny when you remember how the old consultation on health visiting which started the deregulation process with the UKCC was so critical of the 'tribal fragmentation' of community nursing roles. Clearly, there aren't enough tribes now!.On 16 Jun 2006 at 13:36, Maureen Allan wrote:> > I strongly disagree with how Scotland are changing their nurses and if> they do go down the route of triplicate skilled community nurses then> we are heading for disaster! I think its because they can see there> will be a real shortage of trained nurses in the future. I work in> Lanarkshire previously as a school nurse but now as a Public Health> Nurse for schools, here they are looking at calling HVA's and School> Nurses as 'Associate Public Health Nurses' and there are fears they> will be regarded as untrained nurses. Also the rest of us will be> known as Public Health Nurses and work corporately in our Public> Health team and each have our share of first visits and named schools.> Nursing assistants are being trained to do catheterisations, taken> bloods, basic dressings and medications - replacing the enrolled nurse> without the pay recognition! Does this sound familiar to anywhere else> and could anyone comment on if it works well or not?> > Maureen Allan> > > > > > > ========================================> Message Received: Jun 16 2006, 11:52 AM> From: "Liz Plastow" > > Cc: > Subject: RE: New ish nurse> > I will be responding in my own right but also on behalf of the NMC> an interesting challenge but with some serious issues that we must> consider within the bigger picture. I would urge everyone to look> at this consultation. It is so important that there is wide> representation from all irrelevant of their view just as long as> the feedback is representational an not just a minority opinion! > > Liz Plastow> Professional Adviser, Specialist Community > Public Health Nursing> Standards and Registration Directorate> Nursing & Midwifery Council> 23 Portland Place> London> W1B 1PZ> > Direct Line: 020 7333 6509> Facsimile: 020 7333 6538> e-mail: liz.plast > > >