Nursing Associate A new member of the nursing family.
Welcome Objectives ▪ To inform the group and to discuss types of training provision, entry requirements and support ▪ To inform the group and to discuss the Nursing Associate role ▪ To identify areas of good practice and any areas of concern ▪ #NASocialcare ▪ #FutureNA
Background The Shape of Caring Review (Raising the Bar) March 2015 Established the need for a role to ‘bridge the gap’ between Health Care Support Workers ( or equivalent roles) and Registered Nurses Health Education England created a curriculum and led on test site partnerships across the Country to deliver the first trainee nursing associates Following consultation, Government asked the Nursing and Midwifery Council (NMC) to regulate the role
What is a nursing associate? A new ‘generic’ role joining the nursing workforce, delivering holistic, person centred care A range of experience and exposure to different fields (child, adult, mental health and learning disability) and care delivery e.g. at home, close to home and in hospital
Nursing associate A regulated role The nursing associate role is regulated in England by the Nursing and Midwifery Council (NMC), the body responsible for regulating the nursing and midwifery professions. The title nursing associate (from 28 January 2019) is protected in law in England and only those qualified and registered as nursing associates will be able to use this title.
Nursing associate A regulated role A regulated role, registered with the Nursing and Midwifery Council Educated to Level 5 (Foundation degree) A nursing associate is registered and accountable for their own practice and follows The Code (NMC, 2018) A nursing associate will have to revalidate with the NMC every three years and pay an annual fee – the same as Registered nurses
What can a nursing associate do? To be able to achieve the required qualification and register with The Nursing and Midwifery Council, a trainee nursing associate has to demonstrate that they have met the Nursing and Midwifery Council robust standards-of-proficiency-for-nursing-associates Like nurses and other health professionals, nursing associates may expand their scope of practice, within the regulatory framework, through further education and experience after they have qualified and joined the nursing associate part of the NMC register.
What can a nursing associate do? Parameters of Practice A nursing associate should understand the parameters of their own practice A nursing associate will work under the direction of a Registered practitioner.
Being a nursing associate
Education and training ‘Comparable’ and NMC Approved programmes Nursing associate programmes that are offered by Health Education England (HEE) approved test sites are monitored to ensure that the programmes meet the NMC standards of proficiency. HEE assure the NMC that these programmes are comparable, enabling individuals to apply for registration with the NMC.
Nursing and Midwifery Council Nursing associate programmes Until 26 July 2019, you can begin training as a nursing associate in England via a: ▪ nursing associate programme delivered by a Health Education England (HEE) approved nursing associate test site, or nursing associate apprenticeship programme. After 26 July 2019, you can only begin training on a NMC-approved nursing associate programme .
Entry requirements NMC approved programmes The NMC have outlined entry requirements in their published nursing associate programme standards standards-for-pre-registration-nursing-associate-programmes Programmes can be self funded (full time student)but will often be delivered as part of the Nursing Associate Apprenticeship standard. Individual approved education institutions (AEI’s) can set their own entry requirements, as long as they meet the minimum set by the NMC and can be justified at NMC approval event.
Selection, admission and progression: Approved education institutions together with practice learning partners must: 1.1 confirm on entry to the programme that students: 1.1.1 demonstrate values in accordance with the Code 1.1.2 have capability to learn behaviours in accordance with the Code 1.1.3 have capability to develop numeracy skills required to meet programme outcomes 1.1.4 can demonstrate proficiency in English language 1.1.5 have capability in literacy to meet programme outcomes 1.1.6 have capability for digital and technological literacy to meet programme outcomes 1.2 ensure students’ heath and character allows for safe and effective practice on entering the programme, throughout the programme and when submitting the supporting declaration of health and good character in line with the NMC’s health and character decision-making guidance. This includes satisfactory occupational health assessment and criminal record checks 1.3 ensure students are fully informed of the requirement to declare immediately any cautions or convictions, pending charges or adverse determinations made by other regulators, professional bodies and educational establishments and that any declarations are dealt with promptly, fairly and lawfully www.nmc.org.uk Standards for pre-registration nursing associate programmes
Comparison RN and NA NMC platforms: Platform Registered Nursing Associate Platform Registered Nurse 1 Be an accountable professional 1 Be an accountable professional 2 2 Promoting health and preventing ill Promoting health and preventing ill health health 3 Provide and monitor care 3 Assessing needs and planning care 4 Providing and evaluating care 4 Working in teams 5 Leading and managing nursing care and working in teams 5 Improving safety 6 Improving safety 6 Contributing to integrated care 7 Co-ordinating care
Apprenticeship A delivery and funding method ▪ Employed as a trainee /apprentice nursing associate ▪ Enrolled onto an NMC approved programme ▪ Are able meet the Apprenticeship standard in full including end point assessment (EPA) ▪ Employer commissioned – apprentices are recruited and selected by the employer, training is agreed with an AEI who is on the register of apprenticeship training providers. Funding depends on if you are an employer who pays the Levy, are receiving transfer of funds from a levy payer or accessing non levy funding via an ESFA contract holder. https://www.gov.uk/government/publications/apprenticeship-levy-how-it-will-work/apprenticeship-levy-how-it-will-work
Transfer of levy https://www.gov.uk/guidance/transferring-apprenticeship-service-funds ESFA video explaining transfer (3 minute): https://www.youtube.com/watch?v=6FHB5S5JccE Skills for care Apprenticeship team: https://www.skillsforcare.org.uk/Learning-development/apprenticeships- qualifications/apprenticeships/Funding-and-the-levy.aspx
Transferring the levy fund? Transfer User Journey
Practice Learning 3.5 ensure that nursing associate students have protected learning time in line with one of these two options: (Protected learning time is designated time in which students are supported to learn. All students are appropriately supervised until they have demonstrated proficiency in aspects of care. Supernumerary status is one approach to protected learning time.) 3.5.1 Option A: nursing associate students are supernumerary when they are learning in practice 3.5.2 Option B: nursing associate students who are on work-placed learning routes: 3.5.2.1 are released for at least 20 percent of the programme for academic study (The 20 percent specified here is not the total sum of theoretical learning students will need to undertake, please see standard 2.7 which requires equal weighting of theory and practice in the curriculum) 3.5.2.2 are released for at least 20 percent of the programme time, which is assured protected learning time in external practice placements, enabling them to develop the breadth of experience required for a generic role, and 3.5.2.3 protected learning time must be assured for the remainder of the required programme hours. Minimum programme hours: 2,300 https://www.nmc.org.uk/globalassets/sitedocuments/education-standards/nursing- associates-programme-standards.pdf
The value of Nursing associates in general practice Jane Bennett
LUNCH
A providers experience:
Activity Thoughts on deployment of nursing associates Please take part in the activity, ensure that you visit each table, POST IT notes available, please add your type of provision/perspective to any note you leave. If you see a comment you agree with, please complete a POST IT note with your provision perspective type and AGREE and add to the existing note.
Where does the role ‘fit’ in the workforce? “However, it is important to understand that nursing associates are not registered nurses and we expect health and care providers to consider this when deploying them. As with the introduction of any other new role, we are not prescriptive about how you deploy nursing associates, but we need assurance that using them is safe and supports you to deliver high-quality care.” Ref: Briefing for providers: Nursing associates Care Quality Commission January 2019
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