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Dr. Michael Shannon, Director, Nursing and Midwifery Services, HSE
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Dr. Michael Shannon, Director, Nursing and Midwifery Services, HSE

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Nursing and Midwifery Profession in Ireland

Nursing and Midwifery Profession in Ireland

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  • 1. Nursing & Midwifery Profession in Ireland Visioning the Future “Imagine” Dr. Michael Shannon Health Service Executive
  • 2. Past Present and Future Past is Important Present is Reality Future is Significant
  • 3. The Past
  • 4. The Present • Quality and Fairness: A Health System for You (2001a) • Primary Care: A New Direction (2001b) • A Strategy for Cancer Control in Ireland (2006a) • A Vision for Change - Report of the Expert Group on Mental Health Policy (2006b) • Tackling Chronic Disease - A Policy Framework for the Management of Chronic Diseases (2008a) • Report of the Commission on Patient Safety and Quality Assurance (2008b) • Changing Cardiovascular Health: National Cardiovascular Strategy 2012- 2019 (2010a) • Strategic Framework for Role Expansion for Nursing and Midwifery (2011a) • A Strategy for Community Inclusion (HSE 2011a) • The Nurses and Midwives Act 2011 • HIQA National Standards for Safer Better Healthcare (2012)
  • 5. The Future “Imagine” ?
  • 6. Healthy Ireland
  • 7. Aim & Principles of Reform To help people remain healthy and to provide effective safe high quality healthcare and personal social services to the people of Ireland (Future Health, Nov 2012) Keeping People Healthy Empowerment Equity Patient- centredness Efficiency and Effectiveness Regulation and Patient Safety Quality
  • 8. *Money Follows the Patient Document- governance loop DOH website NEW ISA AREAS
  • 9. Completely Transform Our Health System 3. Equal Care A Single Tier UHI System 2. Higher Quality Care Clinically Lead, Rigorous Performance Management 1. A New Model of Care Treatment at the Lowest Level of Complexity that is Safe, Timely, Efficient and as Close to Home As Possible
  • 10. “When one door closes another door opens but we so often look so long and so regretfully upon the closed door, that we do not see the ones which open for us.” Alexander Graham Bell (1847-1922); Future
  • 11. Health Context • Shrinking Economy • Shrinking Health Budget • Health Reforms • HIQA • Croake Park - PSA • Governance • Performance Management However, our overriding objectives currently and for the future must be: • To put patients first and provide high quality, safe patient care • Strive, demonstrate and assure excellence in nursing and midwifery care These will and have to continue to be a central pillar of our future health system It is critical that:  Nursing & Midwifery, Educationalists and Policy Makers engage in
  • 12. Why bother with the Future? “The future belongs to the unreasonable ones, the ones who look forward not backward, who are certain only of uncertainty, and who have the ability and the confidence to think completely differently” Charles Handy quoting Bernard Shaw
  • 13. Nursing & Midwifery Challenging Perspectives
  • 14. Nurses and midwives are probably as fearful about what the future holds in store for them now like never before! How should patients/clients be cared for? How much nursing and midwifery care should be provided? Who should the care providers be? What should our nursing and midwifery workforce look like? What then is nursing and midwifery care? What are the cost implications? How do we provide assurance? How do instil public confidence? How do we ensure key partners with other professionals?
  • 15. Future Nursing and Midwifery Leadership  We need to be proud of our clinical and operational focus We need to look at nursing & midwifery in the context of health policy and planning  We need to form real partnerships between health services, communities and public  We need to be concerned with both bottom-up and top - down leadership  We need to be able to differentiate debate from dissent and disagreement from disunity  We need to function in effective teams  We need to ensure clear governance structures
  • 16. Strategic Focus  The nursing and midwifery profession in Ireland must keep pace with a rapidly changing environment where patient safety, satisfaction, quality and efficiency are equal priorities  Leadership development, innovation and creativity are key ingredients to facilitating the development of the profession  Governance, role clarity, role expansion and skill mix are pivotal drivers for success  Key Performance/ Business Management Indicators  These “ingredients” will enhance patient care through the leadership of the nursing and midwifery profession over the next 5 years
  • 17. Future Key Messages 1. Nurses and Midwives are at the front line in ensuring that care is delivered safely, effectively, and compassionately – NEVER FORGET 2. Grasp the opportunities to lead the nursing and midwifery profession in the improvement and redesign of the health care system and its practice environment 3. Nurses and Midwives should practice to the full extent of their education and training
  • 18. Future Key Messages 4. Nurses and Midwives should achieve higher levels of education and training through education system that promotes seamless academic progression 5. Nurses and Midwives should be full partners, with physicians and other health care professionals, in redesigning health care reform 6. Effective workforce planning and policy making require better data collection and an improved information infrastructure
  • 19. What will Survive as Healthcare Changes 1. Putting patients first 2. Clear ethical values 3. Being clear about our mission 4. Robust governance 5. Constantly trying to improve 6. Basing what we do on evidence 7. Clinical Leadership 8. Learning and professional development
  • 20. Conclusion “We need nursing and midwifery traditions not only to know whom we are but to know who we can become”. Nursing and midwifery has and should continue to take a strong and active leadership role in current and future health care delivery BUT • We need to re-think and be CONSISTENTLY CLEAR what our Nursing and Midwifery leaders might look like and who they might be
  • 21. • The profession must keep pace with a rapidly changing environment where patient safety, satisfaction, quality and efficiency are equal priorities • Leadership development, innovation and creativity are key ingredients to facilitating the development of the profession in the future • Governance, role clarity, role expansion and skill mix are pivotal drivers for success • These “ingredients” will enhance patient care through the leadership of the nursing and midwifery profession over the next 5 years
  • 22. The Florence Nightingale Foundation “ For us who nurse, our nursing is a thing, which, unless we are making progress every year, every month, every week, take my word for it, we are going back”
  • 23. Thank You