Nurses’ lack of confidence to challenge other professionals is hindering their progress, NHS managers have told the prime minister’s commission.
NHS Employers’ consultation response also says there is a lack of clarity over the duties that supporting roles can undertake, creating a perception that nurses and midwifes are unwilling to delegate.
The response says: “Much work has been undertaken to encourage multi-disciplinary team working but the traditional professional boundaries still hinder parts of the nursing or midwifery profession from realising its full potential.
“Some of this is can be attributed to organisational or professional culture.”
NHS Employers recommends more support for nurses in leadership roles and those providing clinical placement supervision and preceptorship programmes.
The emergence of different types of organisations, which nurses may be leading, means they must be given the opportunity to build their entrepreneurial skills and knowledge of different organisational forms and charity laws.
The response also calls for a national framework for assistant practitioners, with a minimum set of competences and possibly educational attainment, while still allowing for local flexibility.