Launch of the Learning Disabilities Nursing Professional Development Forum. Welcome
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1 Launch of the Learning Disabilities Nursing Professional Development Forum Welcome
2 10: Tea Coffee and Networking Chair: Donna Morgan Head of Service, Leading Disability, NHSCT 10:15 10:25 Opening remarks Professor Owen Barr Chair of NI Collaborative Head of School of Nursing Ulster University 10: Message from the Chief Nursing Officer - Charlotte McArdle Maurice Devine MBE Assistant Head of CEC 10:30 10:40 Key note messages Dr Janice Smyth Director Royal College of Nursing NI 10:40 11:10 NI Collaborative: Past achievements and current work: An update and demonstration of NIPEC NI Collaborative website KPI Learning Disabilities Nursing an update Frances Cannon Project Lead, NI Action Plan Senior Professional Officer, NIPEC Bryce McMurray, Director of Mental Health and Disability (Acting) SHSCT 11:10 11:20 RCN Nursing Network - an update Wendy McGregor Chair, RCN Learning Disability Networks Mental Health & Learning Disability Nursing Inspector, RQIA Other updates: NMC Future Nurse Programme Hospital Passport Professor Owen Barr Chair of NI Collaborative Head of School of Nursing Ulster University 11: Group Work :00 Feedback and close
3 NI Collaborative Past Achievements and Current Work Frances Cannon Senior Professional Office NIPEC NIPEC Project Lead: NI Action Plan
4 Strengthening the Commitment The report of the UK Modernising Learning Disabilities Nursing Review
5 Background 4 countries The significant and increasing unmet health needs of children, adults and older people with learning disabilities The changing and challenging demographics within the learning disabled population Nursing workforce concerns across the UK Changing policy, service models Lack of clarity around roles and competencies of LD nursing as services and structures change Leadership Emphasis on outcomes, quality and value for money Strengthening the commitment The report of the UK Modernising Learning Disabilities Nursing Review
6 Outcomes 17 high level and detailed recommendations, centred around 4 organising principles: Aiming to strengthen; Capacity (4) Capability (4) Quality (6) The Profession (3) Aim: to ensure the best possible services are provided to people with learning disabilities, their families & carers now and in the future & that there is a thriving Learning Disabilities nursing profession Strengthening the commitment The report of the UK Modernising Learning Disabilities Nursing Review
7 Northern Ireland StC Action Plan launched 20th June 2014
8 Four UK Chief Nursing Officers & ROI UK & ROI STC Steering Group England Scotland N Ireland Collaborative Wales CNO Annual Report
9 Strengthening the Commitment UK & ROI Steering Group
10 Northern Ireland Collaborative Chaired by Professor Owen Barr Independent Sector Five HSC Trust LD Nursing students at pre & post registration level Education Providers PHA RQIA RCN ARC NIPEC (Project Lead)
11 Renewed focus on: strengthening the unique role strengthening leadership professional development quality improvement/impact
12 NI Collaborative: Achievements at a Glance Information seminars UK STC Annual Conference 2015 RCN Learning Disabilities Nurses Network Leadership initiative LIDNAN LD Nursing Research Position Paper Delivering the Commitment Conference Service user engagement framework. and more
13 A Description of the LD Nursing workforce in NI:- A Report (2015) Strengthening Capacity Produce a workforce review/plan for registered nurses - learning disabilities that will consider all sectors and locations and include nursing support staff.
14 RCN Leadership Programme for Learning Disability Services Strengthening the Profession Enhance professional leadership capacity and potential within registered nurses - learning disabilities in Northern Ireland
15 Learning Disabilities Nursing Outcomes Measurement Event: Strengthening Quality Develop and agree a process of measuring and demonstrating the outcomes of nursing practice Development of an Outcomes Framework KPI
16 NI Collaborative Programme of Work NIPEC/RCN Professional Development Learning Disability Nursing Forum Learning Disabilities Nursing Career Pathway Impact on practice of RCN Leadership Programme Outcomes Measurement Framework Key Performance Indicator for LD Nursing
17 The Northern Ireland Collaborative for Learning Disabilities Nursing Bryce McMurray, Director of Mental Health and Disability (Acting) Southern Health and Social Care Trust
18 Develop a Key Performance Indicator for Leaning Disabilities Nursing Why develop KPIs Providing evidence of the nursing contribution to health and well being Strengthening the Commitment Chief Nursing Officer support and drive KPI for Learning Disability Nursing that measures in part the unique role of a Registered Nurse Learning Disability (RNLD) Northern Ireland Collaborative tasked with developing a KPI for RNLD.
19 Collaborative Workshop with RNLD Nurses Identity the unique contribution of RNLDs Promoting Health and Well Being Health screening and prevention Understanding and managing Behaviours that Challenge Managing Epilepsy Weight of expressed views fell on healthpromotion, vigilance and prevention Evidence of poorer health outcomes for the learning disability population, diabetes, hypertension, dementia, cancer, sexual health
20 KPI for Health and Well-being Health Need defined as: Physical Health Care need Epilepsy Heart and circulatory disorders Hypertension Diabetes Increased risk of respiratory problems / chronic obstructive pulmonary disease Reduced access to screening (general health, breast, testicular, AAA, FoB,) Nutrition: Increased risk of obesity / underweight Urinary and faecal incontinence. Poor diet, increased rates of constipation and gastro-oesophageal reflux disease. Disorders of vision and hearing Poor oral health (including dental caries and loss of teeth). Reduced level of physical exercise Accidents, injury, risk of falls Access to immunization Sleep disorders Mental Health need Schizophrenia Depression Bi polar affective disorder Depression Generalised Anxiety disorder Specific phobias Obsessive compulsive disorder Dementia: Early onset / dementia over 65yrs Severe behaviour problems Autism Self-harm / Suicidal behavior Sexually inappropriate behaviour / risk of vulnerability Substance misuse /Drugs alcohol Lack of social activity / friendships
21 KPI 95% (TBC) of people with Learning Disabilities receiving care from a RNLD have a plan of care recorded that identifies specific health and wellbeing need(s) and there is evidence of a prescribed nursing intervention
22 Evidence Phase 1 1. Assessment documentation records the nurse assessed health need 2. Care plan records a planned intervention to address need Phase 2 3. Care record records that an intervention was offered and measures an outcome in the context of the person or their family
23 Implementation RNLD Lead Nurse in each Trust to prepare staff for measurement Commencement date to be agreed in association with CNOs regional KPI Group Initial measurement to set baseline against which progress/improvements if needed, can be viewed anticipated quarterly thereafter Trust Director of Nursing reports to include the KPI Collaborative will review progress and will seek to develop additional KPIs s for Learning Disabilities Nursing
24 NIPEC website NI Action Plan Strengthening the Commitment Current work Work and Projects Promote Professional Development
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