The Queen's Nursing Institute -
This report describes how District Nurse Team Leaders have advanced skills in assessment, diagnosis and patient management which could be used to provide safe and effective care for people at home, preventing unnecessary hospital admissions. It argues that the NHS is failing to capitalise on the skills, knowledge and experience of District Nurses and instead is investing in new specialist teams of staff in the community, which may impact negatively on the continuity of care. At the same time, the number of District Nurses has fallen dramatically.
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Changing configuration of health services
Commissioning
Competition and choice
Consultations
Developments in primary and community care
Equality and diversity
Integrated care
Leadership and leadership development
Local authorities, public health and health inequalities
Mental health
New technologies
NHS finances and productivity
NHS measurement and performance
Patient involvement, experience and feedback
Patient safety
Quality of care and clinical outcomes
Regulation, governance and accountability
Social care
Workforce and employment
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