Content of Professional Practice: Scope, Influences

1
Content of Professional Practice Scope,
Influences Trends

• Ian Grigor
• School of Healthcare Studies
• University of Leeds

2
Module aims

• To unpack the roles of the accountable
  practitioner in terms of policies and
  professional regulations
• To analyse the true meanings quality in
  healthcare
• To evaluate the terms of reference for leaders in
  the healthcare arena

3
The changing context of care

• Move to primary and intermediate care
• Public expectations continue to rise
• As the new NHS develops nurses, midwives health
  visitors and other healthcare professions will
  play a central part in implementing National
  Service Frameworks, and securing quality
  improvement through clinical governance

4
Context of professional practice

• Scope
• Influence
• Trends
• Change development in
• Practice
• Policy
• Education

5
Scope of practice

• The practice of healthcare requires the
  application of knowledge and the simultaneous
  exercise of judgement and skill. Practice takes
  place in a context of continuing change and
  development.

6
Scope of practice

• New roles for practitioners
• Prescribing
• Planners and commissioners of care
• Developing specialist skills
• Health promoters
• There is no place for rigid demarcation of role
  boundaries in a modern service

7
Scope of patients/clients/public

• The Expert Patients Programme designed to
  empower patients to manage their own healthcare
• Prevention of disease and tackling inequalities
  in health will assume a much greater priority in
  the NHS
• DoH(2004) The NHS Improvement Plan Putting
  People at the Heart of the Public Services

8
Influences and trends

• Evidence based practice
• Healthcare consultants
• Quality assurance
• National standards
• Benchmarking
• Regulation accountability

9
Policy

• Our Healthier Nation
• (DH 2000)
• The NHS Plan (DH 2000)
• National Service Frameworks (DH 2000 ?)
• A Health Service of all
• the Talents (DH 2001)
• Agenda for Change a modernised NHS pay system
  (DH 2002)
• Fitness to Practice (DH 2003)
• The NHS Improvement Plan (DH 2004)

10
Education

• Fitness to Practice (DH 2003)
• Linking closely to the roles of regulatory bodies
  for healthcare professions
• What do the NMC/HPC/GMC advocate?

11
Professional practice

• It is important to recognise that it is the
  skills and knowledge which staff can bring to
  patient care which are important rather than
  simply their professional backgrounds
• DH (2000)

12
Professional practice

• What sort of practitioners
• do we need for
• caring for patients clients?
• staffing the NHS and other caring organisations?
• the government agenda?
• the healthcare professions?

13
Leadership

• Leaders who can establish direction and purpose,
  inspire, motivate and empower teams around common
  goals and produce real improvements in clinical
  practice, quality and services. We need leaders
  who are motivated, self aware, socially skilled
  and able to work together with others across
  professional and organisational boundaries

14
Context of professional practice

• Challenge of professionalism
• Challenges from service users
• Challenge of values and ethics
• Challenge of caring relationships
• Challenge of working in teams
• Challenge of being accountable
• Brechin, Brown Eby (2000)

15
Assessment information

• Summative assessment is a three-hour unseen
  examination paper
• Examples of questions from previous years will be
  revisited in class
• Academic supervision is available and can be
  accessed by appointment