Nursing career spanning 40 years. Trained at St George's Hospital, London, taught by Audrey Emerton.
Retired from Respiratory Respiratory Practice Nurse post.
Currently Steering Group Member of Healthwatch and Public Involvement Association (HAPIA)
Comment on: Nurse-led GP practice rated ‘outstanding’ by CQC
Well done to the two Nurse Practitioners and the whole team.
An excellent example of more efficient and effective care for patients with mental health and long-term conditions - and closer to home too.
Agree with comment that most nurses care passionately about asthma - the diploma level training is excellent. Over a decade I worked as Respiratory Practice nurse in around 15 practices - all were good. The 'Teamwork' is what really makes for good asthma care - this includes: having good IT system to support consistent messages to the patients; GPs re-enforcing those messages; school nurses liaising with GP Practices; admin staff flagging up patients following hospital admission for urgent review. GP's who withold repeat inhalers are part of the wider approach of good asthma care.
Comment on: NHS leaders defend decision on safe staffing
Agree with Michael Stone's comment.
The nursing profession has previously suffered from a lack of good leadership, which was a factor (among others) in major scandals of poor care. Now there is an opportunity to work with NICE to ensure that safe staffing becomes the norm. This opportunity should be grasped now, not left to disappear in the same way as the PM Commission on the Future of Nursing did!
Hear, Hear to Sir Robert Francis and Bill Kirkup!
This is my comment published in The Westmorland Gazette, 12 March 2015, p38:
This report has many similarities to the Francis Report into failings at Mid-Staffordshire in 2013. Both highlight that a defensive culture and poor communications were key factors in failure to learn from errors.
We can only hope that Morecambe Bay Trust will make sure that it has an open and transparent culture in which feedback from patients (and staff) is integral to all services.
Re the examples of failure of (approx 6%) of the GP Practices inspected to ensure proper updating and clinical supervision for nurses - I agree with concluding words of Prof Field that vast majority are providing effective safe care. My experience as Respiratory Practice Nurse in around 15 GP practices was positive - those GPs employed locum Respiratory cover while nurses undertook training, such as Diabetes or COPD courses. All had regular team meetings and were very supportive of their nursing staff. No magic answers for GP's who do not values their nurses - but perhaps CCG's need to take more responsibility in ensuring adequate commissioning of training locally - they will know which practices are deficient anyway.