The CNO Review: Aims and policy issues

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The CNO ReviewAims and policy issues

• Neil Brimblecombe
• Director of Mental Health Nursing
• National Institute for Mental Health in England
  (NIMHE)

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The CNO Review of Mental Health Nursing

• Aims to provide a new strategic framework for the
  profession in NHS funded care in England.
• Includes formal consultation to gather views
  about how MH nursing can best contribute to
  improving service users experience and to meet
  identified priorities.
• Emphasises identifying existing good practice
• In the context of Shifting the Balance of Power

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Review process

• Formation of reference group
• Service users
• Professional organisations
• NIMHE/DH leads
• Formation of advisory groups
• Pre registration
• Nurse prescribing
• Recruitment and retention
• Meeting with charity policy leads
• Commission Literature review
• Formal consultation (90 days minimum)
• Open meetings
• Service user/carer meetings
• All inform final Review document (by March 2005)

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Is mental health nursing needed?

• an essential component in our plans to continue
  to improve mental health services - Louis
  Appleby, National Director of Mental Health,
• Mental health nurses play a vital role in the
  NHS. Chris Beasley, Chief Nursing Officer

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Mental health nursing today

• 47000 in England (21 increase since 1997)
• More in independent sector (? 5-10,000)
• 30 in the community
• 31 more student places
• 140 nurse consultants
• 300 supplementary prescribers
• 350-400 Modern Matrons
• 5000 PSI trained?
• Vacancy rates - 4.7

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The context

• NSF (MH, Childrens, Older Peoples) and PIGs
• NHS Plan - user involvement, new roles for staff
• CNOs 10 Key Roles
• Agenda for change
• NMC Post reg and Fitness to Practice reviews
• NICE Guidelines/evidence base
• Environment/Healthcare acquired infections
• New legislation
• New roles for psychiatrists
• Shifting the Balance of Power

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Key current policy issues

• NSFs Older People and Childrens
• Mental Health NSF the next 5 years
• Carers
• Delivering Race Equality
• Inpatient care
• Physical care/health promotion
• New roles
• nurse prescribing
• new Mental Health Act?
• Choice
• Social inclusion

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The Consultation (more or less)

• Purpose of the document
• Process and Timing
• Numbers and distribution
• Key issues for mental health nursing
• Core values and roles
• Defining key values and models in mental health
  nursing
• Defining key roles of mental health nursing
• Providing holistic care
• Forming and sustaining relationships with service
  users
• Increasing Choice
• Improving physical healthcare and health
  promotion
• Improving access to psychological therapies
• Helping overcome social exclusion
• Meeting spiritual needs
• Utilising evidence in practice

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The Consultation

• Safeguarding children
• Supporting carers
• Improving services through new roles
• Ensuring Equality
• - Gender needs
• - Delivering race equality
• Specialist areas of practice
• Developing inpatient nursing
• - How to Let nurses nurse
• - Developing support worker roles
• - Developing care at night Improving observations
  
• Prison healthcare

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The Consultation

• Developing nurses to meet the needs of service
  users
• - Pre registration nurse training
• - Developing support workers
• - Continuing Professional Development and post
  registration
• education
• Working in teams
• Recruitment and retention
• Leadership

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How to make contact?

• neil.brimblecombe_at_dh.gsi.gov.uk
• Tel [phone]
• Room 317 Wellington House
• 133-155 Waterloo Road
• London SE1 8UG