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NURSING For HEALTH: TWO YEARS ON
CHAPTER 4 MOVING FORWARD
As preceding chapters illustrate there has been a huge amount of activity across all parts of Scotland in taking forward the challenging recommendations set out in
Nursing for Health. Illustrations of practice developments cover all of Scotland's 15 NHS Board areas. Yet in many ways it is early days. Two years represents only the start of a long term change programme that set out to "change the culture and attitude of organisations and professionals."
Much of the ongoing development involves consolidation of the work that is already underway across Scotland. In addition, a new impetus will be given by a number of key national developments:
Health Improvement in Scotland: The Challenge: All four of the priority areas in the plan have relevance to nurses and will provide further impetus and direction to development activity. Work in delivering the targets set out in
The Challenge will engage nurses across Scotland.
Developing the public health workforce: An initial scoping meeting has been held that will form the basis for future development activity focused on the multi-disciplinary public health workforce. The Scottish Executive's Health Improvement Directorate will take forward this work, with nurses making an important contribution. Development activity will contribute to the creation of career pathways and development of nursing's strategic contribution.
Primary Care Modernisation: The Primary Care Modernisation Group will be focusing on health improvement, through the creation of a sub group, providing a basis for consolidating development of the strategic contribution of PHPs and supporting the engagement of all primary care professionals in the public health agenda.
Workforce Planning: The development of networks at local, regional and national level for workforce planning and development linking with NHS Education for Scotland will provide an infrastructure for supporting workforce planning and development to meet the future needs of NHS Scotland. The public health workforce development programme will help to inform this process.
NHS Health Scotland: The bringing together of PHIS and HEBS will provide a single focus for health improvement. The work of PHIS in supporting the
Nursing for Health agenda will be taken forward into the new organisation.
Development of National Strategies and Programmes: A number of key strategies and programmes currently in development will inform future practice developments. These include an Early Years Strategy and Sexual Health Strategy as well as a National Programme to Improve the Mental Health and Well Being of the Scottish Population.
Nursing Developments
In addition, a number of specific nursing developments are proposed to consolidate and build upon existing success:
Nursing for Health Network: A network for people leading the implementation of
Nursing for Health will be developed as a means of sharing approaches and moving forward development on some of the more challenging issues.
Public Health in Nursing and Midwifery: NHS Health Scotland and NES will take forward further work on public health in the wider nursing workforce, involving both practice and nurse education.
Family Health Nursing: The findings of the evaluation of the Family health Nursing pilot will be published in summer 2003, followed by further debate on the implications and potential future developments.
Community Development in Public Health Nursing: NHS Health Scotland will share successes in using community development approaches, consolidating current developments into practice.
Practice Sharing Network: A network will be developed to share practice in public health nursing, enabling good practice to be spread and providing a forum for exchange of ideas.
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