Introducing asthma guidance in Shropshire schools

NHS England | April 2019 | Introducing asthma guidance in Shropshire schools

School nurses in Shropshire have developed and implemented asthma management guidance to provide support and treatment for school children with asthma. 

At the outset the school nursing team undertook an audit of primary and secondary children across Shropshire. Responses demonstrated that:

  • 10% of pupils with asthma had an asthma care plan in place
  • 44% of schools had written guidelines on managing an acute asthma episode
  • 57% of schools had received education and training to support them to manage children with asthma conditions
  • 50% of asthma inhalers kept by schools weren’t appropriate for pupils to use efficiently during an attack

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As a result of this a steering group was established and the group produced guidance on managing asthma in school:

  • Schools should have an identified asthma lead who will act as a key contact and take responsibility in ensuring oversight and coordination of the guidance principles into practice, as well as staff education, training and support;
  • School staff should ensure that children with asthma have their relieving medication with them in school and take steps where this isn’t the case to maximise safety;
  • Children with asthma should have easy access to their relieving medication at all times while in school;
  • Children with asthma should have an individual healthcare plan highlighting their specific triggers and symptoms;
  • School staff should document when children take their medication, self-administered or otherwise; and,
  • School staff should be equipped and trained to manage an acute asthma attack within the school setting. (Source: NHS England)

 

 

Technology enabled care services to support people in rural settings

NHS England | April 2019 |Technology enabled care services to support people in rural settings

New to the Atlas of Shared Learning is a case study where a Clinical Nurse led the implementation of Technology Enabled Care Services (TECS) in Shropshire. Taking this digital approach to care is has significantly improved patient accessibility and experience, outcomes and use of resources locally (Source: NHS England).

Technology enabled care services to support people in rural settings

 

Leading Change Adding Value: a framework for nursing, midwifery and care staff – Year Two: Interim Evaluation Report

NHS England | April 2019 | Leading Change Adding Value: a framework for nursing, midwifery and care staff – Year Two: Interim Evaluation Report

NHS England has published an evaluation that reports on the second year of the Leading Change, Adding Value framework for nursing, midwifery and care staff, (LCAV) and its implementation, so far.

Leading Change Adding Value: a framework for nursing, midwifery and care staff – Year Two: Interim Evaluation Report

 

Starting community conversations

NHS England | March 2019 | Starting community conversations

In a recent post on NHS England’s blog the Deputy Chief Executive and Chief Nurse at the Royal Devon and Exeter NHS Foundation Trust, explains how the Trust has started bringing together all the different groups in what we call ‘community conversations’, in an initiative which aims to pass leadership on engagement to local communities, and better connect GPs and other health professionals, local government, social services, the voluntary sector and local people, in ways that work for them. 

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Read the full post Starting community conversations

Increasing General Practice Nursing placements for student nurses

NHS England | February 2019 | Increasing General Practice Nursing placements for student nurses

A project in Sussex led to the development of General Practice placements for student nurses to experience General Practice Nursing (GPN). 

The nurse for Primary Care Workforce Tutor (PCWT) and the Tutor Lead for Advancing Nurse Practice reviewed the GP workforce data across Kent, Surrey and Sussex as collected by Health Education England. They identified an increased anticipated reduction of qualified GPNs across the region due to projected retirement in the next 2 to 5 years.

Collaborationnurse-815150_640.png with the university supported the vision of what an excellent placement should look like and the skills which could be achieved in the GP provider settings. The PCWT and the Tutor Lead for Advancing Nurse Practice have formed close working relations with the university colleagues, to support ongoing development of the programme.

The changes made to implement the programme included:

  • Providing students with opportunity to observe all aspects of the system and facilitating bespoke opportunities;
  • Developing an induction pack which was adopted by GP providers. This included the expectations of the practice, the student and the skills the student training is delivering, either supervised or unsupervised. This document continues to develop, especially as the team are moving towards hosting multi-disciplinary placements;
  • Developing a preceptorship programme to support newly qualified nurses awaiting their PIN;
  • Creating a workforce development conference locally.

Collaboration and co-production with the university supported the vision of what an excellent placement should look like and the skills which could be achieved in the GP provider settings.

The programme aims to bring the right education, training and development to enhance skills, knowledge and understanding to the future nursing and wider workforce (Source: NHS England)

Read the full case study at NHS England

[Atlas of Shared Learning] Respiratory Nurse delivered Cognitive Behavioural Therapy (CBT) for Chronic Pulmonary Disease (COPD) patients

NHS England | December 2018 | Respiratory Nurse delivered Cognitive Behavioural Therapy (CBT) for Chronic Pulmonary Disease (COPD) patients

The Nurse Consultant in the chest clinic at the Royal Victoria Infirmary, Newcastle Upon Tyne Foundation Trust led on the development and implementation of a new Cognitive Behavioural Therapy (CBT) service for patients with Chronic Obstructive Pulmonary Disorder (COPD). By extending the respiratory nurses’ CBT skills, the holistic programme has improved patient outcomes as well as experience and use of resources.

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Following the completion of a research project on the impact of COPD from a patient’s perspective the nurse consultant identified that patients attending the chest clinic commonly experienced symptoms of anxiety and depression in addition to frightening breathlessness.

The nurse consultant led on the development and implementation of a respiratory nurse led CBT-based service, through the education and training of the respiratory nurses within the service, as well as a quantitative analysis to assess the impact this had on patients.

85 per cent of patients completed the programme, of these patients used the programme to address breathlessness, changing their lifestyle e.g. stopping smoking or losing weight and managing symptoms of anxiety and depression (Source: NHS England).

Read the case study NHS England  Respiratory Nurse delivered Cognitive Behavioural Therapy (CBT) for Chronic Pulmonary Disease (COPD) patients

State of maternity services

State of Maternity Services Report 2018 – England | Royal College of Midwives

This report provides an overview of some of the ‘big picture’ trends that are taking place in the midwifery workforce and identifies some of the challenges that face the profession and maternity services. The main findings reveal that the number of NHS midwives in England rose by just 67 in the last year, despite universities turning out over 2000 newly-trained staff.

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Image source: http://www.rcm.org.uk

This year the Royal College of Midwives (RCM) has published individual reports for England, Scotland, Wales and Northern Ireland.

The full RCM report can be read here
Additional links:
Press release  | RCM
From Brexit to the birth rate: why midwives are leaving the NHS – and causing a crisis | The Guardian