Independent Professional & Charity Chair
- I help people to overcome disabling emotional & behavioural problems, address perplexing dilemmas & improve their personal effectiveness; including practitioner supervision.
- I promote workplace integrity, evidence-based, compassionate practice; cost-effective resource allocation; and ethically-informed critical analysis.
Purpose: to increase peoples' personal & family wellbeing; and improve Public Health & Community Protection.
- Applied Moral Philosophy & Economics;
- Behavioural Psychotherapy for Adults;
- Cognitive & Behavioural Psychotherapy Supervision;
- Mental Health & General Nursing
Note: The effects of a Spinal disorder limit my mobility, & activity. I am though, now an expert through experience.
Other: I remain a guitarist, songwriter & occasional performer.
Well nothing new here. When I embarked on my apprenticeship pre project 2000, the regulsation was in place, but do was Croen Immunity..entirely different times except for the Supernumary theme..so nothing new here.
We insist that Medics gain experience in real life clinical practice, both before they graduate and after; before they are deemed able to practice more autonomously, Their accountability and regulation is not fudged ..except they too are still expected to fill in for system shortages...just not as much as was the case, thirty years ago.
Working with patients and learning to be resilient is part of gaining experience as an NHS practitioner, but to expect folk to do this without incentive, shows just how out of touch the Departments of Health in our UK and our Universities have become.
Put your hands in your pockets and just stop trying to get people to practice Nursing on the cheap, Government!...and then if the experts still say that Legislating for accountability can't be done .get in some new experts.
Other than that: Nothing new here!
The headline and thrust of this article suggests that England can't attract undergraduate (trainee) nurses, yet in the same article, I read:
"..However, the report shows the decrease in the overall number of applicants has not translated into a major drop in people gaining places with nursing courses continuing to be over-subscribed
There were just 80 fewer acceptances this year, which puts the total number of nursing acceptances at 28,540 – the third highest on record...."
Well, I'm confused! Are the training places being filled, or not? ..and the last time I looked, nurses who train in Wales, Scotland and Northern Ireland have never been prevented from working in England. Many Nurses can, and do move around; and msybe there'd be greater mobility if there were more respectful career incentives, terms and conditions.
Government need to think more flexibly about how and where they invest our precious money supply.
Maybe the problem is more to do with University's maintaining their income, rather than educating folk who want to be Nurses. ....and maybe, in terms of folk going into Nurse Training we should consider the numbers who Graduate, Register, remain on the Register, and build long term and fulfilling careers, working succesfully in our UK Health Services, hrlping people who are ill and working to promote better help.
Let's not get worked up and distracted by a Numbers game; rather, lets focus, more fundamentally, on how we are more truly to match the right help sustainably, with the variety of need.
The addage "well I wouldn't start from here" comes to mind.
If we were to design a service, from 'scratch' to help people experiencing marked ill health to get well enough; or live the best way they can despite the limitations of chronic disease or
terminal illness, would we invent Registered: Medical Practitioners, Nurses, Physios; OTs; etc? Probably not?
How much activity, time and resource is given over to creating & maintaining demarcation between professions & protectionism? And could this investment be put to better use? Well, of course nobody knows; though many can, I'm sure cite anecdotes to support one position or another.
Good quality evidence about what works best, and in which situation, is based around what is done This is much clearer than evidence about who is best, for what.
Skills sets though are essential; and as complexity increases, so should, critical analytical thinking and decision making.
This implies employing people with appropriate and appliable knowledge through skill and ability, a continuing opportunity to learn, think innovatively, work in a team, remain resilient, and accept responsibility; within managed frameworks of accountablity.
When treatment and care is needed, thetefore, what matters is that there are the right people in the right places at the right time.
To achieve this, most effectively; and get the best out of those available to undertake the necessarry work; means, in my view adopting a more fluid approach
to training and practice, particularly in nursing and medicine.
This "give up a day's holiday" initiative, whilst wrongheaded, is not being "offerred" only to Nurses in the NHS, Some Universities workforce members are being asked to accept some of their leave, unpaid, in return for a reduction in the likelihood of redundancies.
Both examples are about money supply management...making what there is go further, because apparently the money supplied, to meet demand, is inadequate. Steel workers have had to accept modified pension plans and other manufacturers, in the UK are making similar approaches to workforces, effectively reducing income for the same, or with an expected increase in output.
There is systemic problem with how the UK economy is being run...or..not run!
Comment on: 'I worry about the future of community nursing'
A very timely article. Thank you.
It's quite clear to me that very key influencers really do think that Community Nursing is just about kind, well-meaning people, who should get the minimum wage, and be spread thinly, for what is, after all, for them uncomplicated applied common sense and the undertaking of simple practical tasks, based on basic instruction; probably from someone in a hospital or at a local medical practice. ...Of course, I know that, these days, most Strategic Nurses, Medical practitioners and operational health care managers don't think like that. I really do think it must be somewhere in Government, though, otherwise how do we account for such sloppy political, economic and philosphical thought?