DOCSLIB.ORG

Community Services Benchmarking Deep Dive Report for Health Visiting

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Community Services Benchmarking Deep Dive Report for Health Visiting Community Services benchmarking Deep dive report for Health Visiting NHS Benchmarking Network June 2020 Raising standards through sharing excellence Community Services benchmarking - Deep dive report for Health Visiting © NHS Benchmarking Network (NHSBN) Citation for this document: NHS Benchmarking Network Deep dive report for Health Visiting. June 2020 Raising standards through sharing excellence Community Services benchmarking - Deep dive report for Health Visiting Contents Section 1: Introduction Content of this report Page 4 Executive summary Health Visiting Page 5 Section 2: National policy context Community Services Page 6 Health Visiting Page 10 Section 3: Key Findings - Health Visiting Service model Page 12 Access Page 14 Activity Page 14 Workforce Page 18 Finance Page 21 Quality and outcomes Page 24 Section 4: References Page 25 Appendix 1: The Community Services benchmarking project Page 26 3 Community Services benchmarking - Deep dive report for Health Visiting Section 1: Introduction Content of this report When reviewing this document, please note: the 2019 Community Services project collected and analysed data for the NHS financial year 2018/19. The “2018 project” refers to 2017/18 data any reference to the “national average” within this document refers to the mean average of 2019 project participants all charts and data in this report refer to the overall UK position. Peer group profiling is available in the online toolkit on bar charts, each blue bar represents an individual service. The orange horizontal line represents the mean average value of all services this report is an overview national report and therefore the charts in this report do not show the position of any one organisation in particular. Member organisations who participated in the Community Services project can check their individual positions in the online toolkit, which is issued to members once the dataset has been finalised. This allows individual comparison of every metric collected against the sample position. NHSBN Community Services 2019 - Health Visiting 14,791 731 338 Face to face contacts per Face to face contacts First visits per 100,000 100,000 population per clinical WTE in post registered population 319 23 55% Percentage of visits Unique service users Clinical WTE per carried out within 28 per clinical WTE in post 100,000 population weeks pregnant 2.5 42 3,263 mins Face to face contacts per Average length of a Referrals received per service user contact 100,000 population 4 Section 1: Introduction Community Services benchmarking - Deep dive report for Health Visiting Executive summary Health Visiting Health Visiting is high on the national agenda with Department of Health and Social Care welcoming plans to update the Healthy Child Programme due to the importance of early intervention in healthcare. (Institute of Health Visiting - Health Visiting in England: A Vision for the Future) The Healthy Child Programme includes five mandated visits to monitor and address any needs of the child. In 2019, the percentage of visits delivered in the timeframe increased for the majority of visits. Second visits (14 days after birth) had the highest proportion of visits carried out within the agreed time period increasing from 86% in 2018 to 91% in 2019. First visits (28 weeks) were least likely to be provided on time suggesting meeting this target is providing a challenge for services with just over half (55%) being delivered within the agreed timeframe. This was a reduction on 2018 in which 62% of first visits were delivered in the time frame. Percentage of visits completed Service users, on average, within the time period received 2.5 face to face contacts Fifth visit from a health visitor. This is in line (2.5 years) with the five mandated visits which Fourth visit (12 months) take place over a period of nearly Third visit three years. (8 weeks) Second visit (14 days after birth) As well as the five mandated visits, First visit services also provide several high (28 weeks) impact programmes to help infant 0% and families outcomes. 97% of 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% services offer breast/ infant feeding 2018 2019 and 94% offer Maternal Mental Health. Health Visitors are a highly skilled workforce with Band 6 staff making up the majority of the skill mix (59%) in 2019. The NHS Long Term Plan mentions the importance of mothers and infants receiving seamless care including when moving from maternity to other services such as Health Visiting. Although this is hard to measure, the average number of complaints being only 2 per 100,000 registered population suggested there is a high quality service in Health Visiting. Section 1: Introduction 5 Community Services benchmarking - Deep dive report for Health Visiting National policy context Community Services England The NHS Long Term Plan, published in January 2019, highlights the importance of community services in supporting service users in the community and reducing unnecessary hospital admissions. The Long Term Plan sets out to: boost ‘out-of-hospital’ care, and dissolve the historic divide between primary and community health services increase investment in primary medical and community health services, which will equate to an extra £4.5 billion a year by 2023/24. Extra money will start to flow to community via Sustainability and Transformation Partnership (STP)/ Integrated Care Systems (ICS) and Primary Care Networks (PCN) via Directed Enhanced Service (DES) contracts in 2020/21. The Long Term Plan Implementation Framework outlines funding allocations, with funding for Primary Care flowing more quickly than funding for Community Services increase the capacity and responsiveness of community and intermediate care services via a new offer of urgent community response and recovery support. These services will aim to prevent unnecessary admissions to hospitals and residential care, as well as ensure a timely transfer from hospital to community expand community multidisciplinary teams aligned with new Primary Care Networks based on neighbouring GP practices. Expanded neighbourhood teams will comprise a range of staff such as GPs, Pharmacists, District Nurses, Community Geriatricians, Dementia workers and AHPs. Does your organisation operate with any Primary Care Networks (PCNs)? Yes 69% 31% No 0% 20% 40% 60% 80% 100% 6 Section 2: National Policy Context Community Services benchmarking - Deep dive report for Health Visiting Although the focus of community services within the NHS Long Term Plan is on adult services, wider children’s services and providing a strong start in life for children and young people is also highlighted in the plan. The Long Term Plan sets out to: bring together the NHS, Local Authorities and other local partners through local maternity systems, with the aim of ensuring women and their families receive seamless care, including when moving between maternity or neonatal services or to other services such as primary care or Health Visiting expand and invest in mental health services for children and young people design and implement models of care that are age appropriate, closer to home and bring together physical and mental health services. These models will support health development by providing holistic care across Local Authority and NHS services, including primary care, community services, speech and language therapy, school nursing, oral health, acute and specialised services roll out clinical networks to ensure improvement in the quality of care for children with long-term conditions such as asthma, epilepsy and diabetes. Wales Community services strategy in Wales is contained within the document A Healthier Wales: Our Plan for Health and Social Care and sets a clear ambition to bring health and social care services together for the benefit of service users. This is not a new vision, but is supported by clear expectations, milestones and design principles to establish new models of care in every part of Wales. The overall aim is to provide services that are designed and delivered around the needs and preferences of individuals, with greater emphasis on sustaining a healthy population and preventing ill health. To achieve this ambition, Wales must continue to break down the barriers that prevent health and social care services and their wider partners from operating across the whole system, delivering seamless care to the people of Wales. Good planning arrangements are critical to bring together multiple providers and allow the system to be pre-emptive and anticipatory, ensuring that the right level of care is provided at the right time, from the right source and in the right setting. Section 2: National Policy Context 7 Community Services benchmarking - Deep dive report for Health Visiting A Healthier Wales outlines the following strategies, all of which relate to the provision of community services: services which support people to stay well, not just treat them when they become ill when people need help, health and social care services will work with them and their loved ones to find out what is best for them and agree how to make those things happen. This is the basis of the ‘person-centred approach’ more services will be provided outside of hospitals, closer to home, or at home, and people will only go into hospital for treatment that cannot be provided safely anywhere else. This ‘community- based approach’ will help take pressure off the Welsh hospitals, reduce the time people have to wait to be treated, and the time they
Load more

Recommended publications
  • The Value of Nurses in the Community
    The Value of Nurses in the Community April 2003 Prepared for Canadian Nurses Association Prepared by: Jane Underwood Underwood and Associates 607-100 Lakeshore Road East Oakville, Ontario L6J 6M9 905 339 3258 [email protected] All rights reserved. No part of this book may be reproduced, stored in a retrieval system, or transcribed, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission of the publisher. © Canadian Nurses Association 50 Driveway Ottawa ON K2P 1E2 Tel: (613) 237-2133 or 1-800-361-8404 Fax: (613) 237-3520 E-mail: [email protected] Web site: www.cna-aiic.ca ISBN 1-55119-906-8 Table of Contents Acknowledgements.................................................................................................................... ii Executive Summary ...................................................................................................................iii Introduction ................................................................................................................................ 1 Methods ..................................................................................................................................... 2 Findings ..................................................................................................................................... 3 Roles and practice settings.................................................................................................. 3 Cost benefit of nursing services in the community..............................................................
    [Show full text]
  • Public Health Nurses’ (Phns) Experiences of Their Role As Part of a Primary Care Team (PCT) in Ireland
    RESEARCH PAPER Public health nurses’ (PHNs) experiences of their role as part of a primary care team (PCT) in Ireland AUTHORS Martina Giltenane Dr Maura Dowling MHSc, PGD (Public Health Nursing), BSc (General PhD, MSc, RNT, BNS, RGN. nursing), Lecturer, School of Nursing and Midwifery, Public Health Nurse. Limerick Local Health Office Áras Moyola, National University of Ireland, Galway, Primary Care Area 1, Ireland. Cloughkeating, Patrickswell, Co. Limerick, Ireland [email protected] [email protected] Marcella Kelly MSc (Education), BSc (Community Health), RNT, PHN, RM, RGN. Lecturer, School of Nursing and Midwifery, Áras Moyola, National University of Ireland, Galway, Ireland [email protected] KEY WORDS public health nurse (PHN), primary care, primary care team (PCT), interdisciplinary, teamwork. ABSTRACT Objective This study aimed to understand public health nurses’ (PHNs) views and experiences of their role as part of a primary care team (PCT) and developments within primary care. Design The study adopted a qualitative design guided by interpretative phenomenological analysis (IPA). Participants Ten PHNs who were working as part of a PCT for at least two years and who also had PHN experience prior to PCT development were interviewed. Findings Three super‑ordinate themes representing the study participants’ lived experience and meanings of PCT involvement were interpreted. ‘We are a team’ represents mostly positive experiences of being part of a team such as improved communication and teamwork. However, GP non‑attendance at PCT meetings was also highlighted by all the PHNs. ‘Pushed to the limit’ revealed the PHNs’ frustrations attributed to lack of resources. In addition, this theme represented PHNs’ views of always having to ‘take up the slack’ within the team.
    [Show full text]
  • For Health Policy
    Hoskins, R.A.J. (2009) Health visiting - the end of a UK wide service? Health Policy, 93 (2-3). pp. 93-101. ISSN 0168-8510 http://eprints.gla.ac.uk/7165/ Deposited on: 26 February 2010 Enlighten – Research publications by members of the University of Glasgow http://eprints.gla.ac.uk Author: Robert Alan James Hoskins Lecturer, Nursing & Health Care, Medical Faculty, University of Glasgow, 59 Oakfield Avenue G12 8LL MSc, PGCAP, HV Cert, RGN, RMN Title: Health Visiting – the end of a UK wide service? Journal: Health Policy Word count: 5214 Abstract: In 1997 Health Visiting was deemed by New Labour to be an important player in reducing health inequalities. It was acknowledged that if Health Visiting was to fulfill this vision it would have to work out with its traditional child health role and also engage with groups, communities and populations to tackle the determinants of ill health. Twelve years on, external factors such as, NHS cut backs, recent changes to how Health Visitors are regulated throughout the UK and devolved Health Visiting policy making structures have led to the rapid demise in status and legitimacy of Health Visiting and its wider public health role. This article argues that the unintended consequences of devolved Health Visiting policy has resulted in 3 recent community nursing and health-visiting reviews in Scotland and England which have made divergent policy recommendations about the role of the Health Visitor in tackling health inequalities. The recommendations outlined in the Scottish review in particular threatened to jeopardise the very future provision of a UK wide Health Visiting service.
    [Show full text]
  • Faith Community/Parish Nurse Literature: Exciting Interventions, Unclear Outcomes Arkreligion.Com / Art Directors & TRIP / Alamy
    2.5 contact hours Faith Community/Parish Nurse Literature: Exciting Interventions, Unclear Outcomes ArkReligion.com / Art Directors & TRIP / Alamy by Robyn Dandridge Robyn Dandridge, MSN, RN, CAPA, is a staff nurse in the recovery room of an outpa- tient surgery center. She completed her parish nurse training in 2010. The author declares no conflict of interest. Accepted by peer review 5/2/2013. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article at journalofchristiannursing.com DOI:10.1097/CNJ.0000000000000063 Sean Pavone / Alamy 100 JCN/Volume 31, Number 2 journalofchristiannursing.com Copyright © 2014 InterVarsity Christian Fellowship. Unauthorized reproduction of this article is prohibited. he concept of health ministry— the necessity to continue to promote used by parish nurses in the United supporting and caring for the faith community/parish nurse practice States. A secondary purpose was to Tsick through the faith commu- (Thompson, 2010). determine the value of the parish nity, has existed for millennia. Today, Furthermore, as hospitals strive to nurse in health promotion and ongoing changes in healthcare have contain healthcare costs, partnerships disease prevention based on measured led to an increasing need for health with parish nurse programs are seen as outcomes. CONTEXT FOR PARISH NURSING The modern day concept of parish nursing has its origins in Germany as far back as 1836 (Kreutzer, 2010). Parish ABSTRACT: Faith community/parish nurses provide a variety of nursing has its contemporary origins in services thought to yield positive health outcomes.
    [Show full text]
  • Public Health Interventions: Applications for Public Health Nursing Practice SECOND EDITION
    Public health interventions: Applications for public health nursing practice SECOND EDITION 2019 Public health interventions: Applications for public health nursing practice Second edition Marjorie Schaffer, PhD, RN, PHN Susan Strohschein, DNP, RN, PHN (retired) Suggested citation: Minnesota Department of Health. (2019). Public health interventions: Applications for public health nursing practice (2nd ed.). Minnesota Department of Health Community Health Division PO Box 64975 St. Paul, MN 55164-0975 651-201-3880 [email protected] www.health.state.mn.us To obtain this information in a different format, call: 651-201-3880. Contents Acknowledgements .............................................................................................................................................. 5 Foreword ............................................................................................................................................................... 7 Introduction .......................................................................................................................................................... 8 Overview of evidence-based practice and related topics .............................................................................. 17 Red wedge .......................................................................................................................................................... 25 Surveillance ...................................................................................................................................................
    [Show full text]
  • Faith Community Nursing (FCN) and Home Health Nursing
    INTERNATIONAL PARISH NURSE RESOURCE CENTER POSITION PAPER Faith Community Nursing (FCN) and Home Health Nursing The faith community nurse practice is very similar to other community-based nursing specialties such as home health, community health, public health, and school nursing, etc. All are considered to be independent specialized practices of nursing and fall under the legal authority of each state’s Nurse Practice Acts. In addition, all of nursing practice is guided by the Nursing: Scope and Standards of Practice (American Nurses Association, 2010). They are also guided by their individualized specialized scope and standards of practice. 1. Nursing: Scope and Standards of Practice (American Nurses Association, 2010) is available at http://www.nursesbooks.org/Main-Menu/Standards/Nursing- Scope-and-Standards-of-Practice.aspx 2. Faith Community Nursing Scope and Standards of Practice (American Nurses Association & Health Ministry Association, 2005, 2012) is available at http:// www.nursesbooks.org/Main-Menu/Standards/A--G/Faith-Community-Nursing. aspx During a home visit, based on the assessment, the FCN can: 1. Practice with the knowledge and skills of a registered nurse based on training (assessment, prevention, education, disease processes, procedures, treatments, and end-of-life issues). 2. Perform intentional spiritual care, spiritual leadership/practices, and integrate health and faith. 3. Advocate and provide resources and referrals on many different levels. 4. Coordinate, implement, and sustain ongoing activities such as faith community volunteer training to support the client. 5. Be familiar with and able to implement community health nursing and public health nursing concepts and practices, such as safety inspections in the home and health prevention screenings.
    [Show full text]
  • Public Health Nursing: Past and Future a Review of the Literature
    EUR/01/5019258 ORIGINAL: ENGLISH E74237 The changing socioeconomic and demographic situation in Europe and the increasing focus on developing high quality, locally accessible health care services have triggered major health service reforms throughout the WHO European Region. Public health nurses have been active in the Region since the late 19th century. They were among the first health professionals to reduce inequalities in health status and in access to basic health services in the communities they served. Public health nursing has been developing alongside the public health movement in Europe under the auspices of national, regional or local government public health departments. The range and scope of this development varies greatly between Member States, owing to the historical development of nursing and midwifery and the related role of feldshers. Despite these differences, the reasons for the development of the public health nursing role at the end of the 19th century were crushing poverty, inequity, lack of basic health services, environmental pollution and infectious diseases. A review of the literature has identified some confusion about the scope, role and title of public health nurse, the issue of generalist versus specialist public health nurses, and their educational preparation. Since the early 1990s, Europe has witnessed the re-emergence of old diseases and the emergence of new diseases as public health infrastructures were weakened and their effectiveness reduced. Public health nurses are as much needed now as they were at the beginning of the 20th century. This first step in a review of public health nursing is designed to assist with an in-depth examination of public health nursing in Europe.
    [Show full text]
  • HANDBOOK of Nursing DIAGNOSIS, 14Th EDITION
    Nursing Diagnosis Index Activity Intolerance 30 Communication, Impaired Activity Planning, Ineffective 36 Verbal 131 Activity Planning, Risk for Communication, Impaired 127 Ineffective 37 Communication, Readiness for Adverse Reaction to Iodinated Enhanced 700 Contrast Media, Risk for 38 Confusion, Acute 134 Airway Clearance, Ineffective 515 Confusion, Chronic 141 Allergy Response, Risk for 42 Confusion, Risk for Acute 141 Anxiety 48 Constipation 148 Anxiety, Death 56 Constipation, Perceived 153 Aspiration, Risk for 356 Contamination, Community 164 Attachment, Risk for Impaired 449 Contamination, Family 162 Bathing Self-Care Deficit 532 Contamination, Individual 155 Bed Mobility, Impaired 397 Contamination, Risk for Bleeding, Risk for 60 Community 167 Blood Glucose Level, Risk for Contamination, Risk for Unstable 61 Family 163 Body Image, Disturbed 548 Contamination, Risk for Body Temperature, Risk for Individual 161 Imbalanced 62 Continuous Urinary Bowel Incontinence 74 Incontinence 670 Breast Milk, Insufficient 86 Coping, Compromised Breastfeeding, Ineffective 77 Family 188 Breastfeeding, Interrupted 85 Coping, Defensive 176 Breastfeeding, Readiness for Coping, Disabled Family 189 Enhanced 697 Coping, Ineffective Breathing Pattern, Ineffective 518 Community 185 Cardiac Output, Decreased 87 Coping, Ineffective 168 Cardiac Tissue Perfusion, Risk for Coping, Readiness for Decreased 640 Enhanced 701 Caregiver Role Strain 89 Coping, Readiness for Enhanced Caregiver Role Strain, Risk for 95 Community 702 Cerebral Tissue Perfusion, Risk for Decision
    [Show full text]
  • Community Nursing
    AMERICAN NURSING HISTORY Community Nursing Public Health Nursing Davida Michaels MSN, M.Ed. RN 12/20/2019 Contents Community Nursing........................................................................................................ 3 Introduction ................................................................................................................. 3 Public Health Nursing ................................................................................................. 3 William Rathbone and Florence Nightingale ......................................................... 3 Lillian Wald and the Henry Street Settlement ................................................................ 4 Introduction ................................................................................................................. 4 Lillian Wald and the Henry Street Settlement ............................................................ 5 Baptism of Fire - The House on Henry Street ................................................................ 6 Metropolitan Life Insurance Company Nurses ..................................................... 10 Public Health Nursing ............................................................................................... 10 Prevention and Health Promotion Services .......................................................... 11 Maternal Child Nursing ............................................................................................ 14 Industrial – Occupational Health Nursing ...............................................................
    [Show full text]
  • Faith Community Nursing and Home Health Nursing
    POSITION STATEMENT 2019 Faith Community Nursing and Home Health Nursing Faith community nursing is very similar to other community-based nursing specialties such as home health nursing, community health nursing, school nursing, and public health nursing. All are considered to be independent specialized practices of nursing and fall under the legal authority of each state’s Nurse Practice Acts. In addition, all of nursing practice is guided by Nursing: Scope and Standards of Practice (American Nurses Association, 2015). They are also guided by their individualized specialized scope and standards of practice. What can the FCN do during a home visit? Based on assessment, the Faith Community Nurse (FCN) can do the following: • Practice with the knowledge and skills of a registered nurse based on training (assessment, prevention, education, disease processes, procedures, treatments, and end-of-life issues). • Perform intentional spiritual care, spiritual leadership practices, and integrate health and faith. • Advocate and provide resources and referrals on many different levels. • Coordinate, implement, and sustain ongoing activities such as faith community volunteer training to support the client. • Be familiar with and able to implement community health nursing and public health nursing concepts and practices, such as safety inspections in the home and health prevention screenings. • Use the FCN Visitation Guidelines (available at https://www.amazon.com/Visitation-Guidelines-Faith- Community-Nurses/dp/1546311459). • Emphasize wholistic health functioning, not just improved health outcomes. Does the FCN replace a home health care nurse? No. When a home health nurse is in the home, the FCN collaborates with the home health nurse on the plan of care.
    [Show full text]
  • Implementing & Evaluating a Community of Practice For
    IMPLEMENTING & EVALUATING A COMMUNITY OF PRACTICE FOR HEALTH VISITING FINAL REPORT March 2016 Kim Manley and Jane Greaves Co researchers: Audrey Chapman, Sarah Craven, Julia Cole, Catriona Duncan, Diane Gibson, Julia Haynes, Hayley Ince, Caroline Lane, Emma Mc Ginn, Rachel Marsden, Vita Martin-Achong, Susan Moffat & Angela Wright Partnership involving Kent Community Health Foundation Trust and Medway Community Health Funded by Health Education Kent, Surrey, Sussex ISBN 978-1-909067-57-8 Table of Contents Acknowledgements ............................................................................. 7 Executive Summary ............................................................................ 8 Introduction ........................................................................................... Literature Review ............................................................................. 8 National and Regional Context ......................................................... 8 Regional context............................................................................... 8 Communities of practice ................................................................... 9 Health Visitors: Purpose, Role, Effectiveness ................................... 9 Project Aim, Methodology and Methods ............................................ 10 Findings ............................................................................................ 11 The focus of the sessions – co-creating the journey an overview ... 11 Implementing and evaluating
    [Show full text]
  • Title: Understanding Leadership in Community Nursing in Scotland
    Edinburgh Research Explorer Understanding leadership in community nursing in Scotland Citation for published version: Haycock-Stuart, EA, Baggaley, S, Kean, S & Carson, M 2010, 'Understanding leadership in community nursing in Scotland', Community Practitioner, vol. 83, no. 7, pp. 24-28. Link: Link to publication record in Edinburgh Research Explorer Document Version: Peer reviewed version Published In: Community Practitioner Publisher Rights Statement: © Haycock-Stuart, E. A., Baggaley, S., Kean, S., & Carson, M. (2010). Understanding Leadership in Community Nursing in Scotland. Community Practitioner and Health Visitor Journal, 83(7), 24-28. General rights Copyright for the publications made accessible via the Edinburgh Research Explorer is retained by the author(s) and / or other copyright owners and it is a condition of accessing these publications that users recognise and abide by the legal requirements associated with these rights. Take down policy The University of Edinburgh has made every reasonable effort to ensure that Edinburgh Research Explorer content complies with UK legislation. If you believe that the public display of this file breaches copyright please contact [email protected] providing details, and we will remove access to the work immediately and investigate your claim. Download date: 29. Sep. 2021 This is the Author’s Final Version of © Haycock-Stuart, E. A., Baggaley, S., Kean, S., & Carson, M. (2010). Understanding Leadership in Community Nursing in Scotland. Community Practitioner and Health Visitor Journal, 83(7), 24-28. Title: Understanding leadership in community nursing in Scotland Key words: Leadership, community nursing, management. Word count: 426 including tables and references-excluding the abstract Abstract There is limited evidence concerning leadership in community nursing.
    [Show full text]