Leading change, adding value

Title: Leading change, adding value: A framework for nursing, midwifery and care staff

What does this mean for libraries? 

There are a number of commitments (page 13) which libraries could hook into and could directly support when delivering services to staff:

Commitment 7 We will lead and drive research to evidence the impact of what we do.
Commitment 8 We will have the right education, training and development to enhance our skills, knowledge and understanding.
Commitment 10 We will champion the use of technology and informatics to improve
practice, address unwarranted variations and enhance outcomes.

Source: Health Education England

Link to main document 

Date of publication: May 2016

Summary of driver:

This framework builds upon Compassion in Practice and outlines how nursing, midwifery and care staff will meet the challenge of delivering the “Triple Aim” of better outcomes, better experiences for people and better use of resources outlined in the Five Year Forward View.

The framework will help to close gaps in health & well-being, care and quality and funding and efficiency. On page 13 of the document, there are 10 aspirational commitments which can be implemented locally at any level.

Mind the Gap: Exploring the Needs of Early Career Nurses and Midwives in the Workplace

Source: Summary report from Birmingham and Solihull LETC Every Student Counts Project. Published by Health Education England.

Link to main document

Publication format: PDF

Date of publication: May 2015

Summary of driver: This is the report of a project looking at recruitment and retention of early career nurses and midwives (currently consisting of Generation Y). Research was conducted among final year students and newly qualified staff showing that early career nurses and midwives wanted, among other things, clear progression pathways, care and support from team leaders, spiritedness, meaningful work, developmental support and flexibility to achieve work-life balance.

It also looks at the differing needs of four different ‘generations’ of nurses and midwives (Baby Boomers, Generation X, Generation Y and Generation Z) in terms of support required for their career, and also the differing values, expectation and motivations of each generation. Generation Z are those just entering higher education now, born after 1995, so will be entering the workforce shortly.

Key features of driver:

• Overviews of the characteristics of each generation as infographics
• More detailed information about the workplace needs of Generation Y (born 1980 – 1994) who make up 35% of the NHS workforce

Primary audience: Health Education England, employers and education providers

Impact on library policy/practice:

It’s difficult to pinpoint specific implications for library services, as the report is focused on the work environment, and the generational cohort descriptions are very stereotyped. It may be that characteristics shaped by differing learning styles may have a bigger impact for us.

Date last updated: August 2016

Due for review: August 2017

Group member responsible: JC

Revalidation for nurses and midwives

Source: Nursing and Midwifery Council (NMC)

Link to webpage

Date of publication: October 2015

Summary of driver: 

Revalidation is a process that all nurses and midwives need to engage with to demonstrate that they practise safely and effectively throughout their career.  This section of the NMC website  outlines the requirements for revalidation.

Key features of driver:

All nurses and midwives are currently required to renew their registration every three years. Revalidation strengthens the renewal process by introducing new requirements that focus on:

• up-to-date practice and professional development
• reflection on the professional standards of practice and behaviour as set out in the NMC Code and
• engagement in professional discussions with other registered nurses or midwives.

Revalidation is a continuous process that nurses and midwives will engage with throughout their career. It is not a point in time activity or assessment.

Revalidation is about promoting good practice across the whole population of nurses and midwives. It’s not an assessment of a nurse or midwife’s fitness to practise and it’s not intended to address bad practice amongst a small number of nurses and midwives.

The components of revalidation are to:

• Practise a minimum of 450 hours over the three years prior to the renewal of registration
• Undertake 35 hours of continuing professional development (CPD)
• Obtain five pieces of practice‐related feedback
• Record a minimum of five written reflections on the Code, CPD and practice related feedback
• Provide a health and character declaration
• Declare appropriate cover under an indemnity arrangement
• Gain confirmation, from a third party, that revalidation requirements have been met

This How to Revalidate booklet is useful for practical advice.

Primary audience: Nurses and midwives in NHS England.

Impact on library policy/practice: Library services are perfectly positioned to support revalidation locally.  We can:

• provide dedicated print and electronic evidence resources to help nurses/midwives keep up-to-date
• provide training in information search skills so that nurses/midwives can develop their own skills
• provide training in Critical Appraisal skills so nurses-midwives can develop the skills to assess how robust and reliable original research is using appropriate tools
• conduct information searches on chosen subjects
• obtain journal articles & publications, which might be needed to stay abreast of developments in your field of expertise
• support Journal Club activity which enables groups to present and critique original research of interest and relevant to their specialty
• offer 24 hour access to library space, computers and printers

Date last updated: October 2015

Due for review: October 2016

Group member responsible: VT

A Framework for Personalised Care and Population Health for Nurses, Midwives, Health Visitors and Allied Health Professionals

Source: Public Health England and Department of Health

Link to main document

Publication format: PDF

Date of publication: 4th July 2014

Summary of driver: The framework forms parts of the public health contribution of nurses and midwives: guidance. It has been developed with practitioners and leaders as a resource to support nurses, midwives, health visitors and allied health professionals’ in the delivery of their public health role. The framework will facilitate their access to the best evidence and is a tool to support practice on a number of levels. It can also assist clinical leaders, managers and commissioners to develop services which use the knowledge and skills of healthcare practitioners to deliver the best health outcomes for the populations they serve. This document recognises that at this point in time, health promoting practice is essential to meet the health challenges in society and is related the Public Health Outcomes Framework and the Compassion in Practice.

Key features of driver:

• Six key areas of population health activity are listed; Improving the wider determinants of health, health improvement- making every contact help, health protection, healthcare public health, supporting health wellbeing and independence and Lifecourse.
• Each section has an ‘aim’ which is linked to the relevant indicators in the Public Health Outcomes Framework (http://www.phoutcomes.info/) which can be used to measure impact/outcomes in that particular activity area.
• Framework will support practice on a number of levels and provide staff with a tool that will help support them in the delivery of the population elements of their role. All staff will gain something from this framework ranging from using the framework to develop services for the local healthcare population to using it to develop local commissioning.
• Framework supports and shapes health promoting practice and embeds personalised care across all ages and communities
• Public Health Intervention Wheel (adapted from the Minnesota Department of Health in 2001) demonstrates the use of public health practice at three levels- individual, community and population. It defines the scope of public health nursing practice by the type of intervention.

Primary audience: Nurses, midwives, health visitors and allied health professionals, professional managers (local and regional)/commissioners/researchers and those in other education based roles.

Impact on library policy/practice:

• Opportunity to ensure that healthcare staff have the relevant up to date evidence via methods such as current awareness bulletins and targeted information delivery (Kings Fund/WHO).
• Opportunity to develop new outreach links and services to staff in the community.
• Ensuring that access to the documents/links mentioned is available and signposting access. The framework is an interactive document so users should be able to access the information at the point of need. LKS staff can ensure that access to the links and documents is available.

Date last updated: July 2014
Due for review: July 2015
Group member responsible: LK