Norfolk Nursing Workforce Nursing Associates Christine Futter Chief Operating Officer N&SCS Wednesday 27 th March 2019
Key National Facts and Figures – Registered Nurses Number of nurses working in social care has fallen by 8,000 since 2012/13. Last year alone the number dropped by 4,000 Additionally over 2,000 District Nurses who would support those living and to end of life in care homes have been lost The turnover rate for registered nurses was 32.1% in 2016/17, up from 27.2% in 2012/13 9% nursing vacancy rate in social care Data Source: NMDS Norfolk Nursing Workforce England Nursing Workforce 41% turnover rate 32% turnover rate 9% vacancy rate 12% vacancy rate 50% on full time contracts 55% on full time contracts 25% on zero hours contracts 16% on zero hours contracts 87% female, 13% male 86% female, 14% male 29% EEA (non British) 16% EEA (non British)
Why is it important for the nursing workforce in social care? • Over 155,000 workers (more than the NHS) • Over 2,500 providers – primarily residential care, home and residential care with nursing • Over 90% of providers in our sector are private and voluntary • In some parts of the region self funders of care make up nearly 65% of the market • An increased workforce (7% increase since 2012 – 2016)
Norfolk Nursing Home Workforce Workforce Age Profile 8.30% 65 AND OVER 6.80% 27.80% 55 TO 64 26.60% 21.50% 45 TO 54 27.60% 28.80% 35 TO 44 21.30% 12.80% 25 TO 34 16.80% 0.70% 24 AND UNDER 0.90% 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% Percentage of Norfolk Staff Percentage of National Staff
Nursing Workforce Profile Workforce Nationality Profile Workforce Gender Profile NON-BRITISH (NATIONALITY NOT 0.00% KNOWN) 1.40% 1.40% UNKNOWN 7.00% 13% 15.20% NON-EEA 16.40% 29.00% 87% EEA (NON BRITISH) 15.50% 54.30% BRITISH 59.70% Female Male 0.00% 20.00% 40.00% 60.00% 80.00% 100.00% Percentage of Norfolk Staff Percentage of National Staff
Our workforce challenge The Local challenge Nursing turnover in social care in Norfolk 32% Vacancy rates 9% for nurses in social care Nursing Homes becoming residential care establishment without nursing Reliance on costly agency staff to fill gaps
What initiatives are there to address this? The Nursing Associate role is a new support role that will sit alongside existing healthcare support workers and fully-qualified registered nurses to deliver hands- on care. It is a two year Level 5 Apprenticeship, work-based learning programme It is a role in itself and will be regulated by the National Midwifery Council (NMC). Administration of medicines was identified by stakeholders as one of the top three functions of the new role to bridge the gap between a care assistant and a registered nurse. Given the patient safety element, it was also cited by the majority of stakeholders as a core reason for the role to be statutorily regulated.
Benefits of the Nursing Associate role? The new role provides an access route to nursing and a career ladder for the support workforce strengthening opportunities to create a “home grown” workforce. Strengthens the support available to nursing staff, releasing registered nurses to focus on care planning and management, advancing their practice and utilising their high level skills Creation of a defined curriculum framework - standardises the role and its parameters of practice, enabling employers and registered professionals to confidently utilise and deploy the role.
What’s happening in Norfolk? Trainee Nursing Associate Launch - Anna Morgan, Vivienne Stimpson, Diane Gray, and (front), Fran Brett and Jo Bishop. Picture: Keiron Tovell
Norfolk and Waveney Partnership • Working with the Trusts, GP practices and social care representatives across Norfolk and Waveney • We have agreed 2 Higher Education Institute(HEI) providers – UEA with Norwich City College and Open University • We have over 140 Trainee Nursing Associates on programme across the region – social care apprentices from 3 large organisations, Health Care Homes, East Anglia Care Homes and Kingsley Healthcare • We have 3 cohorts running – September, November 2018 and February 2019 has just started – with more planned. Norfolk and Suffolk Foundation Trust (NSFT) Queen Elizabeth Hospital Kings Lynn (QEH) NHS Trust James Paget University Hospital NHS Trust Norfolk and Norwich University Hospitals NHS FT East Coast Community Healthcare (ECCH) OneNorwich Norfolk and Suffolk Care Support (NSCS) Norfolk Community Health & Care NHS Trust
What does the partnership have to do? Expressions of Interest Partnership Bid creation creation and submission Uniforms Recruitment Levy Comms Finance HEI procurement Engagement …to name a few!
Nurse Associates in social care • Social care has been part of the process – there will be some invaluable learning from this • Adds value – allows provider services to recruit and allows Registered Nurses to lead and the Nursing Associate can support their role • We have the most apprentices from social care in the country
Challenges of the Nursing Associate role? 1. Funding – it’s complicated – Levy/Non-levy and transfers 2. Capacity challenges and releasing staff for training is recognised although within the Partnership we are working to support this 3. The information and communication is health focused 4. Social Care are relatively under-represented on the programme and therefore there is less peer support 5. The role of the TNA is not yet understood within the existing workforce by staff and senior managers 6. The key roles of Supervisor (regulated professional) and Assessor(RN) require regulated roles within the organisation
Transferring the levy fund? Transfer User Journey
Transferring the levy fund? You Tube https://www.youtube.com/watch?v=uES4- dRxDYo
Statement of Knowledge Statement of Role, Knowledge and Skills for Registered Nurses in Adult Social Care? Is being developed by Skills for Care in consultation with Registered Nurses and the people they support, plus other professionals who work in and with the adult social care sector. The purpose is to: Raise the profile and reputation of nursing in the adult social care sector Inform debate and decision making in areas including education and training of the current and future registered nurse workforce Promote Initiatives in areas such as recruitment and retention; career pathways and continuing professional development
Statement of Knowledge Statement of Role, Knowledge and Skills for Registered Nurses in Adult Social Care? Alongside the Statement there will be a series of resources including case studies from RN working in different roles within social care. Norfolk has submitted 4 case studies from the following provisions: Suncourt Nursing Home Crown Rest Residential Home Independence Matters – Learning Disabilities Anna Morgan- Director of Nursing and Quality Revalidation has been discussed and there may be resources produced to support this – as yet not confirmed
Th Thank you for lis listenin ing Any Questions?
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