Thank you – on International Nurses Day (my emphasis)

Dear Peter*

On International Nurses Day, we want to recognise the vital role that nursing professionals play in delivering safe and equitable care. ...

This year’s theme, ‘Our Nurses. Our Future. Empowered Nurses Save Lives’, reflects the importance of supporting you to uphold high standards in a rapidly evolving health and care landscape, with rising demand for care. There are new models of care^ and rapid growth in the use of AI. There are also changing demographics – a more diverse nursing population, with a third of nursing professionals being Black, Asian and minority ethnic. There is also a more diverse patient community to care for, with a greater mix of complex mental, physical, cognitive, and behavioral care needs. To make matters even more challenging, there are sadly rising levels of racism and intolerance across our society, which is affecting health and care – with some Black, Asian and minority ethnic nursing professionals now being subjected to 1970s and 1980s style racism. This is unacceptable. That’s why we’re working to modernise practice learning the Code and the revalidation process, to support you, and students, to uphold high standards in the modern and changing world. We’re consulting on our proposals to strengthen practice learning, so that the next generation of professionals is equipped with the right knowledge, skills and experience to meet society’s future health and care needs. We encourage you to take part in the consultation and share your views, so that the changes we make are informed by your lived experience and professional insight. At the end of this month, we will be publishing anti-racist principles for nursing and midwifery education and practice, to help tackle health inequalities for patients who are Black, Asian and minority ethnic. Our work on the anti-racism principles reflects our responsibility to set clear standards that support equity, safety and public confidence – this has also been central to the ongoing reviews of the Code and Revalidation process. We know there is more to do, and we are listening – to your experiences, your insights and your ideas, as we shape the changes. International Nurses Day is an opportunity to hear directly from registrants, reflecting on what you enjoy about your work and how professional standards guide your practice. As Caroline Ogunsola, Professional Development Lead Nurse at East London NHS Foundation Trust, says: “Your contribution matters – nursing is a lifelong journey of impact and continuous development.” Roisin Devlin, Assistant Director of Nursing and Midwifery at South Eastern Health and Social Care Trust, says: “Take pride in your title and remember people will feel the impact you made on them long after you have forgotten.” To nursing professionals across all settings in the four countries of the UK – we would like to say: ''Thank you for your dedication, resilience, and the essential role you play for people and communities every day.''

Best wishes

Paul Rees MBE Chief Executive and Registrar Professor Donna O’Boyle MBE Acting Executive Director of Professional Practice

^There are older models too, that can help healthcare and education deal with racism, inequity, inequality and AI. 

 *Not to me personally, of course - part of a mass NMC mailing on this special day.

Previously: 'safety' : 'lifelong' : 'model' : 'nurse' : 'values' : 'racism'

Consultation: Community Mental Health Services [ UK Parliament ]

Source: Health and Social Care Committee, House of Commons, London, SW1A 0AA

'Community Mental Health Services

Inquiry

The Committee is undertaking an inquiry into community mental health services. The inquiry will examine what good looks like from the perspective of service users and their families/carers. The Committee would like the inquiry to shine a light on case studies of innovative practice and high-quality care across the country, and to undertake meaningful and impactful engagement with people accessing these services. 

The inquiry will consider how service users’ wider health and social needs can be addressed, including in employment and housing, and to understand what policy interventions are required to improve how these needs are met. As part of this inquiry, the Committee also wants to assess to what extent the Community Mental Health Framework is driving improvements in the delivery of more integrated, person-centred care. 

This inquiry is focussing on adults with severe mental health needs in particular, which includes but is not limited to people with bipolar disorder, schizophrenia and severe depression. The Committee recognises the scale of the challenge in children and young people’s mental health, and plans to do further work in this area in due course, building on its predecessor Committee’s 2021 inquiry. 

In line with the general practice of select committees, the Health and Social Care Committee is not able to take up individual cases or complaints. If you would like political support or advice you may wish to contact your local Member of Parliament.

This inquiry is currently accepting evidence

The committee wants to hear your views. We welcome submissions from anyone with answers to the questions in the call for evidence. You can submit evidence until Tuesday 4 February 2025.' 

Read the call for evidence before submitting:

https://committees.parliament.uk/work/8755/community-mental-health-services/

Consultation: CHANGE NHS

 
Our NHS is broken, but not beaten. Together we can fix it.    [ c/o https://change.nhs.uk/en-GB/ ]

The NHS has been there for us for over 76 years. But to make sure the NHS is here for the next 76 years, doing all it can to support the health of everyone, we need your help.

We want to have the biggest ever conversation about the future of the NHS.

It doesn’t matter whether you have a lot or a little to say. Your views, experiences and ideas will shape a new 10 Year Health Plan for England. 

This is open to everyone. If you are a member of the public or someone who works in health and care in England, 'Start Here', to tell us how the NHS needs to change.

If you are contributing as a representative of an organisation, complete the organisation questionnaire. This is an early opportunity to share your insights as we begin an extensive programme of engagement to develop the 10 Year Health Plan. 

If you register your email address, we will stay in touch to seek your views as the 10 Year Health Plan develops.

[video no longer available]

'change' in Hodges' model

The NHS and people's health is more than 

a machine, more than a mechanistic thing 

that if broken can be fixed.

By definition you cannot be 'inclusive'
if you do not achieve balance
with the humanistic; and the
values of humanity and
 the spiritual as per context.

individual

|

INTERPERSONAL : SCIENCES

humanistic ------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

purposes person-centredness personalised care experiences continuity mental state; mental health attitudes - mindset expectations (public education) my health literacy (all of them: education)	processes (care inc. 'writing' records, 'gates' access) demographically-driven care  define 'success' - metrics - data utilise evidence peak CO2 peak obesity physical health: chronological age - pathological age encourage self-care to support sustainability
social care social attitudes child support - support for families proven practices that delivers community as resource community: homes for living in - not profiting from Public involvement:  #NHSCHANGE #CHANGENHS Protect / Create green spaces for outdoor play	funding, finance, budgets, economics POLICY: FROM: National ill-Health Service TO: National Health Service  long-termism E3^ for all the literacies address: food quality,  air, water, noise, litter SOCIO-tech approach to applied technology Teach Hodges' model to teens, and prisoners as part of PSHE and rehab programmes

E3^ education, education, education - by literacies we include: information, emotional, media, finance, spiritual, cultural, scientific, religious, climate...

'delivers' includes: improved care experiences, integrated care (related to all the domains), patient, carer, public safety, cost effectiveness, research questions, accurate - valid reporting.

All health disciplines / professionals, social care, and APPGs ... share a common model - a conceptual framework for critical thinking and reflective practice.

Developing NIHR guiding principles for Community Engagement and Involvement - have your say!

Dear HIFA colleagues,

Today we launch a public consultation on our guiding principles for community engagement and involvement in health research (CEI). We are aiming to build consensus by seeking feedback on the principles, their descriptions and how they could be implemented in diverse local contexts.

Here's the link to the survey: - now closed.

It should take around 15 - 20 minutes to complete, and it closes on 1 December.

The survey is open to everyone with an interest in CEI, and all HIFA members are welcome to participate. Please do share widely with colleagues, networks, and friends. If you have any questions, email ceiglobalhealth AT nihr.ac.uk.

** Rationale and more detail:

The NIHR expects Community Engagement and Involvement (CEI) to be integrated in the full spectrum of the research it supports. NIHR has both a vision and goals for CEI. However, we wanted to bring together wider work on the foundations of good CEI in research and present these key attributes in an accessible way. These new guiding principles aim to help clarify the expectations of CEI by: - providing stronger guidance for the global health research community in developing CEI plans that are robust, appropriate, and effective for both the local context and for the study design. - being useful to research funding committee members, providing them with a framework and criteria to carry out more robust assessments of research proposals.

The principles are not a set of rules but more conceptual and will be realised in practice in many ways, reflecting the huge contextual variation in global health research.

To date, we have carried out a rapid scoping review of literature, which, along with previous development work, aimed to identify CEI principles related to how researchers and communities interact within the global health research context. Earlier feedback on the emerging principles was sought from a group of CEI Leads across NIHR awards and from an independent group of CEI experts formed to advise on the work.

**

Best regards, Patrick Patrick Wilson Head of Global Health Communications & Stakeholder Engagement National Institute for Health and Care Research (NIHR)  📨 patrick.wilson AT nihr.ac.uk🌐 www.nihr.ac.uk/globalhealth Subscribe to our NIHR Global Health Research monthly newsletter 📝 https://www.nihr.ac.uk/about-us/stay-up-to-date.htm#six

HIFA profile: Patrick Wilson is Head of Global Health Communications & Stakeholder Engagement at the National Institute for Health and Care Research (NIHR), UK . Professional interest: Global health research. @NIHRglobal 

My source: HIFA

Two policy initiatives related to Digital and eHealth - RCN

Dear eHealth forum members 

[c/o RCN]

We just wanted to alert you to two policy initiatives related to Digital and eHealth.

1. The Digital Nursing programme in England is seeking feedback on their consultation on having a Standard for Nursing Documentation. The draft standard and form to give feedback [by 21st July] are available on the NHS futures website (https://future.nhs.uk/DigitalNursesNetwork/view?objectID=36339504). 

You may need to register to access the site:

image: FutureNHS - Digital Nursing Programme

2. NHS England has just released their plan for Digital health and social care (https://www.gov.uk/government/publications/a-plan-for-digital-health-and-social-care/a-plan-for-digital-health-and-social-care).

With very best wishes

The eHealth forum committee

n.b. Closing date for feedback added in text.

 

NMC: A consultation on draft standards for community and public health nursing

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

What do you think ...	... as a Professional?
... as a member of the Public?	"We are reviewing post-registration standards and we want to hear from you! Find out more and tell us what you think of the draft standards. The consultation will be open until 2 August 2021 #FutureCommunityNurse

My source: Twitter

How many APPGs does your Garden Grow?

APPGs - All Party Parliamentary Groups

 

 

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group - population

	APPG on Autism APPG on Learning Disability APPG on Ageing and Older People APPG on Carers APPG on Parkinson's APPG on Terminal Illness APPG on Dementia and Adult Social Care APPG on Dementia APPG on Multiple Sclerosis APPG on Disability

How do you integrate their 'outputs'?

I am not disputing the need for APPGs and their number, but highlighting a 'fact of care and governance' and what remain legacy problems of holistic, integrated, person-centred and reflective care.

My source:

Better social care, Letters to the Editor, The Times, Saturday, July 25, 2020, p.28.

 

Primary Care and the GP crisis: Individual - Group [Consultations]

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

Mental health (use of groups) One-to-One Interpersonal skills Psychological therapies PURPOSE Psychotherapy	Time, Place Efficiency Cost-effectiveness Evidence-based same conditions PROCESS
Group Consultations Group Therapy - an established therapeutic modality Group CBT for Older Adults PRACTICE	POLICY Treatment Therapy Education Doctor or Nurse led other disciplines too...

It’s great to hear #RCGP lead acknowledging the value of group consultations. Many of these pilots have been formulated & run by #nurses in general practice. It’s a shame their work wasn’t acknowledged on .@BBCr4today @weGPNS @theRCN https://t.co/zh4H7swoUv

— RCN GPN Forum (@RCNGPNForum) October 6, 2018

My source:
The Telegraph, GPs to see patients in groups of 15

@weGPNS - text corrected from original.

Book: Skills for Communicating with Patients

Skills for Communicating with Patients

Part 1 of my studies at Lancaster has been a busy two years. Picking up this book which I used in a research paper, the delivery note was a surprise. The book arrived c/o Radcliffe Health in April 2014. Since then Radcliffe is no more, but the title is available through CRC Press.

An established text given a 3rd edition it is accessible, thorough and well organised. The content presents the Calgary - Cambridge Guides as described on the back cover (PB).

Initiating the session. Gathering information. 
Providing structure to the interview. Building the relationship. Explanation and planning. Closing the session.

(As a non-medic) what I like about this CPD certified book is the clear path through the chapters that explain the Calgary - Cambridge Guides. Other models, frameworks and approaches are described. The Calgary - Cambridge Guides is process-centric as is evident in 'gathering information', but the complexity that arises in achieving competence is included and fully referenced (pp. 263-293) throughout the book. Framing questions in open and closed form is covered, with example dialogue between patient and doctor on many practical points. Person-centredness, uncertainty, motivational interviewing, mental health - psychosis, risk (suicide) are also explained. While person-centredness is not the main focus, 'patient' ... is very well served in the index. There is much here about shared understandings and planning and how to make suggestions and raise options rather directives (concordance, p.193). Although it might be viewed as 'cold', I liked the emphasis on information and inclusion of health literacy.

In a very brief break from my proposal I've brushed off two draft papers I've mentioned before on W2tQ at some point. They relate Hodges' model respectively to:

• threshold concepts 5,000 words 
• case formulation 4,000 words

In a way the Calgary - Cambridge Guides is a means to a formulation, but a formulation that is consultation (appointment, session) specific. Perhaps in future we will see developments that are more integrative and consider continuity as a vital part of this critical activity. This is the challenge in communication getting the scalability of communication and communication skills right. Clearly beyond the scope of this book but how much of that communication gets passed-along (communicated!)?

This is however a very complete, readable and informative read. Without expanding the book further: but more on technology-mediated communication (beyond computers in the consultation) must be essential in a 4th edition? I am biased but in dusting off the above papers, more on the challenges within mental health, especially self-harm, body-image, mental capacity, and forensic might highlight troublesome (threshold) concepts. Understandably, the disease-illness model is highlighted (p.65). Living well through self-care, living with chronicity, strengths and recovery perspectives may also deserve mention? Working towards a 'meeting of experts' (p.184) helpfully begins to address such developments. With my project in mind I also looked for 'evaluation'. If "research" had its own place in the index - what would the content be?

It proved helpful having a break from the draft papers I wished I'd picked this text up sooner and that I can look at my research proposal similarly refreshed...

Silverman, J., Kurtz, S., & Draper, J. (2013). Skills for Communicating with Patients, 3rd Edition, CRC Press.

Below I have mapped some of the elements of the Calgary - Cambridge Guides to Hodges' model (disrupting the original).

individual

|

INTERPERSONAL : SCIENCES

humanistic ---------------------------------------  mechanistic

SOCIOLOGY : POLITICAL

|

group

1. Initiating the session: Preparation Exploration of the patient's problems patients's perspective background information - context Aiding accurate recall and understanding Identifying the reasons for the consultation	Providing STRUCTURE: 2. Gathering information: biomedical perspective 3. Physical examination: Providing the correct type and amount of information
Building the RELATIONSHIP: Approp. non-verbal behaviour Developing rapport Involving the patient Achieving a shared understanding: incorporating the patient's illness framework 4. Explanation and planning:	Making organisation overt Planning: shared decision making 5. Closing the session: Ensuring appropriate point of closure Forward planning

Image source:
CRC Press

Robots, surgery, resources and policy

individual

|

INTERPERSONAL : SCIENCES

humanistic --------------------------------------- mechanistic

SOCIOLOGY : POLITICAL
|

group

	"A proliferation of centres offering robotic surgery should be avoided ...
	until a national policy can be developed." p.14.

da Vinci Surgery

Clinical Commissioning Policy: Robotic-Assisted Surgical Procedures for Prostate Cancer, Draft for Public Consultation: NHS England.

The Robot Report

Dunhill, L. (2015) Robot wars over specialist site, Health Service Journal, 8 July. 125: 6453, p.14.

Consultation on the proposed withdrawal of the SNOMED CT national care planning content

In addition to responding myself, I notice on the actual consultation page on 'Citizen Space' there is an option to share this consultation.

Dear Peter,

You are registered for the care planning content via the HSCIC Technology Reference data Update Distribution website.

The national Care Planning Content is designed for use to support care planning functionality across health and social care. This functionality crosses many professions/sectors which may have differing descriptions for a care plan in the traditional health record (e.g. treatment plans, birthing plans, support plans, intervention plans or care order sets). The content can support the interoperation of care plans across boundaries and paper based care plans based on the pack have also been used successfully to gain greater familiarity with structured terminology (SNOMED CT).

More details at: ...

The absence of a declared owner or sponsor for this product means that we are proposing to withdraw it and are keen to hear views and understand the impact of not maintaining this content and its associated services.

We have a number of questions to determine how information Standards could best support the development of a standard for care planning, the consultation can be found at: ...

- and we would value and encourage your feedback on this proposal.

If you have any questions regarding the above you can contact us by sending an e-mail to information.standards AT hscic.gov.uk. This is the preferred form of communication.
...

Regards
The TRUD support team
Health and Social Care Information Centre

Budgeting for Public Involvement in Research

Dear Colleagues,

INVOLVE and the Mental Health Research Network teamed up to produce a new resource to help with budgeting for the costs of public involvement in research. It can be used for everything from putting together an involvement budget for an entire study to working out how much it will cost to run a one-off consultation event.

The first part of the resource is a guide which:

• provides practical advice on what costs are associated with involvement in research
• includes a step-by-step process for identifying the associated costs and planning the budget
• presents examples of research projects with well-developed budgets for involvement work
• contains tips, links to useful websites, and references.

The second part of the resource is an online ‘involvement cost calculator' to work out the costs for your research study.

Please forward this information to your colleagues and networks.

If you have any questions or queries about Budgeting for involvement please contact:

Thomas Kabir
MHRN Service Users in Research Coordinator ...
To find out about INVOLVE visit www.invo.org.uk

...

My source: Laura Gardner: Research Design Service North West’s e-mail list.

Your help needed to develop an instrument to measure ‘e-health literacy’

Researchers from the University of Copenhagen, Denmark and Deakin University, Australia are developing an instrument to measure ‘e-health literacy’ in current and future users of healthcare.

To develop this instrument they are undertaking a comprehensive consultation with a wide range of stakeholders. This includes the perspective of users of the healthcare system, as well as the perspective of ‘experts’, i.e. researchers, healthcare professionals, managers and policymakers.

They are looking for help with this task to ensure that the research is comprehensive, asking for your views and observations on what a person needs to be able to do in order to use digital health services (e-health). To do this there is an online survey, which takes about 3 to 5 minutes to complete.

Please complete the survey no later than Wednesday, 1 August 2012. The researchers will collate statements from all respondents over the next month or so. In a second e-mail, they will ask you to group and rank individual statements in terms of importance.

The output will be a comprehensive map of the key elements of e-health literacy. This information will be integrated with data generated from workshops with both health care users and professionals. The final goal is the production of an internationally relevant tool to measure e-health literacy.

If you wish to receive a copy of the results of this research, please indicate this on the last page of the survey.

...

My source: Patient Information Forum via twitter

Research Capability Programme NHS UK - consultation

From: The NHS-HE CONNECTIVITY PROJECT Forum - Malcolm TeagueSent: Thursday, 30 October, 2008 16:42:25
Subject: Research Capability Programme - consultation

Consultation on the wider use of patient information

I attended a briefing event on the Research Capability Programme yesterday in Birmingham which was very informative and excellent progress is being made. It was mentioned that the researchers view was under-represented at the moment in the consultation on the wider use of NHS data eg for clinical research. Researchers currently represent only 2% of the responses. But I have just completed it as an NHS user which was the category that best fitted, so everyone can take part. It also takes you through the scenarios gently step by step. Anyway it would be great if you could encourage as many colleagues to take part as possible at:

Formerly:
http://www.connectingforhealth.nhs.uk/systemsandservices/research/consultation

There were a series of RCP briefing events so some of you may already have attended elsewhere. The presentations are going to be made available so I will endeavour to pass those on in some way later. The NHS-HE Forum got a positive mention from Sir Alex Markham!

Many thanks,

Malcolm